Active NPI
Ralph V Harder, MD
- Pulmonary Disease Physician
- Auburn, ME
National Provider Identifier
1528094885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 012044
- Practice address
- 15 Gracelawn Rd
Suite 203
Auburn, ME 04210-6334 - Phone
- (207) 330-3930
- Fax
- (207) 753-3093
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 012044 | ME | |
| Pulmonary Disease Physician | 207RP1001X | 012044 | ME | Primary |
Addresses
Primary practice location
15 Gracelawn Rd
Suite 203
Auburn, ME 04210-6334
Mailing address
PO Box 1638
Albany, NY 12201-1638
Phone (207) 777-4111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5508240 | Other | ME | AETNA NON HMO |
| 1041758 | Other | ME | AETNA HMO |
| 2408 | Other | ME | ANTHEM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012044 | ME | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310256000000",
"number": "1528094885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1638",
"city": "ALBANY",
"state": "NY",
"postal_code": "122011638",
"telephone_number": "207-777-4111",
"fax_number": "207-783-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GRACELAWN RD",
"address_2": "SUITE 203",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106334",
"telephone_number": "207-330-3930",
"fax_number": "207-753-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDER",
"first_name": "RALPH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2011-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "ME",
"license": "012044",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ME",
"license": "012044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "5508240",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1041758",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "2408",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.