Jerry L Harvey, DO, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JERRY L HARVEY, DO, PA

Practice address

15361 Highway 5
Suite E
Cabot, AR 72023-5128

Phone

(501) 605-9355

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Harvey, D.O.NPI 1487602470

Title

President

Phone

(501) 605-9355

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Jerry L Harvey, DO

  • Family Medicine Physician
  • Cabot, AR
  • NPI 1487602470
  Medicare reassignment NPD Authorized official
• Danielle Allison Davidson, APRN-FNP

  • Nurse Practitioner
  • Cabot, AR
  • NPI 1568235968
  NPD

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1477781680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15361 HIGHWAY 5",
            "address_2": "SUITE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720235128",
            "telephone_number": "501-605-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15361 HIGHWAY 5",
            "address_2": "SUITE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720235128",
            "telephone_number": "501-605-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L HARVEY, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-605-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125608003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "5J444",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lauren Jeffers, NURSE PRACTITIONER
• Jeffrey Kemper Pmhnp-BC PLLC
• Amy Elizabeth Jenkins, APRN
• Jennifer L. Price, DNP, Aprn, PLLC
• Michael Jerkins, M.D.
• Kimberly Jimerson
• Samuel F. Jirik, DDS PA
• Joe Abrams, MD PA (Family Doctors Clinic)
• Aleshia C Johnson
• Antoinette Johnson, FNP-C

• Primary Care Clinic/Center in Cabot, AR
• Providers in Cabot, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.