Paul T Harvey, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5315137141 Issued in MI

Practice address

Caroline Detention Facility
11093 SW Lewis Memorial Drive
Bowling Green, VA 22427

Phone

(804) 633-0043

Fax

(866) 475-9337

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1639725963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAROLINE DETENTION FACILITY",
            "address_2": "11093 SW LEWIS MEMORIAL DRIVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-633-0043",
            "fax_number": "866-475-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINE DETENTION FACILITY",
            "address_2": "11093 SW LEWIS MEMORIAL DRIVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-633-0043",
            "fax_number": "866-475-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5315137141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US GOVERNMENT",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bowling Green, VA
• Providers in Bowling Green, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.