NPIMap

Individual provider Active NPI

Gregory S. Harrah, MD

  • Family Medicine Physician
  • Hurricane, WV
National Provider Identifier
1528022795
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17232 Issued in WV
Practice address
3857 Teays Valley Rd
Suite I
Hurricane, WV 25526-9480
Phone
(304) 757-7052
Fax
(304) 757-7093
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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 17232 WV Primary

Addresses

Primary practice location

3857 Teays Valley Rd
Suite I
Hurricane, WV 25526-9480

Mailing address

226 Cobblestone Blvd
Scott Depot, WV 25560-9362
Phone (304) 757-7092

Other identifiers 1

IdentifierTypeStateIssuer
0044935000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20051221000040 WV Practitioner - Family Practice 5193747061 Practice locations: Hurricane, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3857 Teays Valley Rd
Suite 1
Hurricane, WV 25526-9480
Phone (304) 757-7092

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, South Charleston, WV, CCN 517048
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17232WVMDFamily Medicine Physician

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1528022795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 COBBLESTONE BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609362",
            "telephone_number": "304-757-7092",
            "fax_number": "304-757-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 TEAYS VALLEY RD",
            "address_2": "SUITE I",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269480",
            "telephone_number": "304-757-7052",
            "fax_number": "304-757-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAH",
        "first_name": "GREGORY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044935000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.