Kurt Dudley Harrison, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

34007809 Issued in OH

Practice address

1922 Glen Springs Dr.
Fremont, OH 43420

Phone

(419) 333-9026

Fax

(419) 333-9043

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Kurt D Harrison Dopc

  • Primary Care Clinic/Center
  • Fremont, OH
  • NPI 1447612833
  NPD (past) Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1508859638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 GLEN SPRINGS DR.",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "43420",
            "telephone_number": "419-333-9026",
            "fax_number": "419-333-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 GLEN SPRINGS DR.",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "43420",
            "telephone_number": "419-333-9026",
            "fax_number": "419-333-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KURT",
        "middle_name": "DUDLEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34007809",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34007809H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Michelle Hammons
• Shaiem D Hampton, L.P.C
• Hand-N-Hand Provider Agency LLC.
• Colleen A Hankins, LPN
• Patricia G Hardy, LISW-S
• Leslie Hartman, PHARMD
• Harts Ambulette
• Joy A Hassen
• Sierra Hatlay
• Andrea Nicole Hayes, PA-C

• All providers in Fremont, OH
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.