Individual provider Active NPI

Brian Mathew Harmych, M.D.

  • Facial Plastic Surgery Physician
  • Edgewood, OH
National Provider Identifier
1568651990
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
45269 Issued in KY
Practice address
133 Barnwood Drive
Edgewood, OH 41017
Phone
(859) 331-9600
Fax
(859) 331-5831
NPI assigned
Oct 22, 2007
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 57013974 OH
Facial Plastic Surgery Physician 207YS0123X 45269 KY Primary
Facial Plastic Surgery Physician 207YS0123X 35.098399 OH
Facial Plastic Surgery Physician 207YS0123X 51087 CO

Addresses

Primary practice location

133 Barnwood Drive
Edgewood, OH 41017

Mailing address

133 Barnwood Drive
Edgewood, OH 41017
Phone (859) 331-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140203001572 OH Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2163656356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57013974OHMDOtolaryngology Physician
51087COMDFacial Plastic Surgery Physician
45269KYMDFacial Plastic Surgery Physician
35.098399OHMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC Otolaryngology CurrentSince Jan 1, 2014 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jan 1, 2014 Accepting new patients

Locations

2945 Maple Ave
Zanesville, OH 43701
Phone (740) 454-0158

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1568651990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BARNWOOD DRIVE",
            "city": "EDGEWOOD",
            "state": "OH",
            "postal_code": "41017",
            "telephone_number": "859-331-9600",
            "fax_number": "859-331-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BARNWOOD DRIVE",
            "city": "EDGEWOOD",
            "state": "OH",
            "postal_code": "41017",
            "telephone_number": "859-331-9600",
            "fax_number": "859-331-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMYCH",
        "first_name": "BRIAN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "57013974",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "KY",
            "license": "45269",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OH",
            "license": "35.098399",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "51087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.