Paul P. Harasimowicz,III,M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

73797 Issued in MA

Legal business name

PAUL P. HARASIMOWICZ,III,M.D.,P.C.

Practice address

190 Groton Rd
Suite 160
Ayer, MA 01432-1124

Phone

(978) 772-9846

Fax

(978) 772-1180

NPI assigned

Jan 30, 2007

Last updated

May 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul P. Harasimowicz III, M.D.NPI 1538152574

Title

President

Phone

(978) 772-9846

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul P Harasimowicz III, M. D.

  • Specialist
  • Ayer, MA
  • NPI 1538152574
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1649316969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 160",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-9846",
            "fax_number": "978-772-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 160",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-9846",
            "fax_number": "978-772-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL P. HARASIMOWICZ,III,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "HARASIMOWICZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-772-9846",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "73797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9779612",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078272",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J11220",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "073797",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Orton, F.N.P.
• Dean J. Overmiller, PHARM.D.
• Bradford Parmenter, LICSW
• Timothy Michael Patno
• Paul L Gunderson, M.D., P.C.
• Judith Marie Pentedemos, NP
• Salvatore Perla, DRPH
• Peter Muz, M.D., P.C.
• Panida Pheang, NP-C
• Primary Care Specialists Inc.

• Specialist in Ayer, MA
• Providers in Ayer, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.