NPIMap

Individual provider Active NPI

Jerry L Harvey, DO

  • Family Medicine Physician
  • Cabot, AR
National Provider Identifier
1487602470
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
EO182 Issued in AR
Practice address
15361 Highway 5
Suite E
Cabot, AR 72023-5128
Phone
(501) 605-9355
NPI assigned
May 4, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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 EO182 AR Primary

Addresses

Primary practice location

15361 Highway 5
Suite E
Cabot, AR 72023-5128

Mailing address

15361 Highway 5
Suite E
Cabot, AR 72023-5128
Phone (501) 605-9355

Other identifiers 1

IdentifierTypeStateIssuer
125608003MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000650 AR Practitioner - Family PracticePractitioner - General Practice 6608877832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15361 Hwy 5 E
Cabot, AR 72023-5144
Phone (501) 605-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EO182ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry L Harvey, DO, PA CurrentSince Aug 24, 2009 Accepting new patients
White County Urgent Care Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

15361 Highway 5
Apt E
Cabot, AR 72023
Phone (501) 605-9355

Organizations & group practices 3

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 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1487602470",
    "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": {
        "last_name": "HARVEY",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "EO182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125608003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.