Individual provider Active NPI

Thomas Paul Harakal, M.D.

  • Family Medicine Physician
  • Laurys Station, PA
National Provider Identifier
1497850101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD018131-E Issued in PA
Practice address
5649 Wynnewood Dr
Suite 202
Laurys Station, PA 18059-1138
Phone
(610) 261-1650
Fax
(610) 261-9601
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD018131-E PA Primary

Addresses

Primary practice location

5649 Wynnewood Dr
Suite 202
Laurys Station, PA 18059-1138

Mailing address

5649 Wynnewood Dr
Suite 202
Laurys Station, PA 18059-1138
Phone (610) 261-1650

Other identifiers 1

IdentifierTypeStateIssuer
MD018131-EOtherPAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD018131-EPAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497850101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 WYNNEWOOD DR",
            "address_2": "SUITE 202",
            "city": "LAURYS STATION",
            "state": "PA",
            "postal_code": "180591138",
            "telephone_number": "610-261-1650",
            "fax_number": "610-261-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 WYNNEWOOD DR",
            "address_2": "SUITE 202",
            "city": "LAURYS STATION",
            "state": "PA",
            "postal_code": "180591138",
            "telephone_number": "610-261-1650",
            "fax_number": "610-261-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAKAL",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD018131-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD018131-E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurys Station, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.