Organization Active NPI

Dr. Michael D. Harvey, P.a.

  • Internist Chiropractor
  • Waseca, MN
National Provider Identifier
1396981270
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
001131 Issued in MN
Legal business name
DR. MICHAEL D. HARVEY, P.A.
Practice address
212 15TH Ave NE
Suite 1030
Waseca, MN 56093-2778
Phone
(507) 835-2425
Fax
(507) 835-5818
NPI assigned
Dec 26, 2008
Last updated
Dec 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael David Harvey, D.C.NPI 1497888325
Title
President
Phone
(507) 835-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 002430 MN
Internist Chiropractor 111NI0900X 001131 MN Primary

Addresses

Primary practice location

212 15TH Ave NE
Suite 1030
Waseca, MN 56093-2778

Mailing address

212 15TH Ave NE
Suite 1030
Waseca, MN 56093-2778
Phone (507) 835-2425

Other identifiers 3

IdentifierTypeStateIssuer
605716100MedicaidMN
59582OtherMNMPIN
59582HAOtherMNBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090212000374 MN Part B Supplier - Clinic/Group Practice 3476618174 Receives reassigned benefits from 3 practitioners
Practice locations: Waseca, MN

National Provider Directory

National Provider Directory

Locations

212 15th Ave NE
Ste 1030
Waseca, MN 56093
Phone (507) 835-2425

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1396981270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 15TH AVE NE",
            "address_2": "SUITE 1030",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932778",
            "telephone_number": "507-835-2425",
            "fax_number": "507-835-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 15TH AVE NE",
            "address_2": "SUITE 1030",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932778",
            "telephone_number": "507-835-2425",
            "fax_number": "507-835-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL D. HARVEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-835-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "002430",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "001131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605716100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPIN",
            "identifier": "59582",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "59582HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waseca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.