Individual provider Active NPI

David Allen Harvey, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1427169911
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33357 Issued in WA
Practice address
4464 Fremont Ave N
Suite 103
Seattle, WA 98103-7273
Phone
(206) 267-7300
Fax
(203) 626-7730
NPI assigned
Aug 31, 2006
Last updated
Jun 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33357 WA Primary

Addresses

Primary practice location

4464 Fremont Ave N
Suite 103
Seattle, WA 98103-7273

Mailing address

1323 3Rd Ave W
Seattle, WA 98119-3311
Phone (206) 267-7300

Other identifiers 1

IdentifierTypeStateIssuer
8186876MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000950 WA Practitioner - Family Practice 4789676180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fremont Family Practice LLCGroup PAC ID 4981696382, 5 clinicians

Practice addresses (Care Compare)

4464 Fremont Ave N
Suite 103
Seattle, WA 98103-7290
Phone (206) 267-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33357WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Family Practice LLC Family Medicine CurrentSince Feb 1, 2003 Accepting new patients

Locations

4464 Fremont Ave N
Ste 103
Seattle, WA 98103
Phone (206) 267-7300

6804 Greenwood Ave N
Seattle, WA 98103
Phone (206) 257-7380

Interoperability endpoints

  • Direct secure messaging: david.harvey@309431641702404.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371859200000",
    "number": "1427169911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 3RD AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193311",
            "telephone_number": "206-267-7300",
            "fax_number": "206-267-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 FREMONT AVE N",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037273",
            "telephone_number": "206-267-7300",
            "fax_number": "203-626-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "33357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8186876",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.