Active NPI
Michael W Harmon, MD
- Diagnostic Ultrasound Physician
- Eureka, CA
National Provider Identifier
1477551216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- G71219
- Practice address
- 2700 Dolbeer St
Eureka, CA 95501-4736 - Phone
- (707) 269-4229
- Fax
- (707) 269-3849
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | G71219 | CA | Primary |
Addresses
Primary practice location
2700 Dolbeer St
Eureka, CA 95501-4736
Mailing address
PO Box 368
Blue Lake, CA 95525-0368
Phone (707) 668-5743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G71219 | Other | CA | LICENSE |
| GR0088900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71219 | CA | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eureka Radiation Oncology Consultants | Current | Accepting new patients | |
| Eureka Radiation Oncology | Current | Accepting new patients |
Locations
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
Interoperability endpoints
- mharmon1657773@oc.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Eureka, CA
- NPI 1467105668
-
- Radiation Therapy Radiologic Technologist
- Eureka, CA
- NPI 1043952492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1477551216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "BLUE LAKE",
"state": "CA",
"postal_code": "955250368",
"telephone_number": "707-668-5743",
"fax_number": "707-668-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 DOLBEER ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014736",
"telephone_number": "707-269-4229",
"fax_number": "707-269-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G71219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G71219",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.