Individual provider Active NPI

Nathaniel E Harlow, D.O.

  • Pain Medicine Physician
  • Lebanon, NH
National Provider Identifier
1477700771
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
21881 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone
(603) 650-6040
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2537 CO
Pain Medicine Physician 208VP0000X 21881 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-6040

Other practice location 1

2698 Patterson Rd
Grand Junction, CO 81506-8818
Phone (970) 298-2800

Other identifiers 1

IdentifierTypeStateIssuer
39703541MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141223001073 VT Practitioner - Sports Medicine 1759405426 Reassigns benefits to 1 organization
I20210917001333 NH Practitioner - Pain ManagementPractitioner - Family Practice 1759405426 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2537COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc CurrentSince Sep 15, 2014 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Sep 9, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 9, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 9, 2021 Accepting new patients
Alice Peck Day Memorial Hospital Family Medicine Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 9, 2021 Accepting new patients
Alice Peck Day Memorial Hospital Family Medicine Current Accepting new patients
Gifford Medical Center Inc. CurrentSince Sep 15, 2014 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Sep 9, 2021 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1477700771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2698 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815068818",
            "country_code": "US",
            "telephone_number": "970-298-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "NATHANIEL",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "2537",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NH",
            "license": "21881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39703541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.