Active NPI
Robert Doyle Harvey, PA-C
- Surgical Physician Assistant
- Alexandria, LA
National Provider Identifier
1659357598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- A10515
- Practice address
- 3704 North Blvd
Suite C
Alexandria, LA 71301-3606 - Phone
- (318) 443-4576
- Fax
- (318) 449-5579
- NPI assigned
- Dec 22, 2005
- Last updated
- Apr 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | A10515 | LA | Primary |
Addresses
Primary practice location
3704 North Blvd
Suite C
Alexandria, LA 71301-3606
Mailing address
3704 North Blvd
Suite C
Alexandria, LA 71301-3606
Phone (318) 443-4576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629090 | Medicaid | LA |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
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.
-
dba Sanford Clinic Walnut Grove
- Family Medicine Physician
- Walnut Grove, MN
- NPI 1033306931
-
dba Sanford Clinic Mountain Lake
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1659357598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 NORTH BLVD",
"address_2": "SUITE C",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013606",
"telephone_number": "318-443-4576",
"fax_number": "318-449-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 NORTH BLVD",
"address_2": "SUITE C",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013606",
"telephone_number": "318-443-4576",
"fax_number": "318-449-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "ROBERT",
"middle_name": "DOYLE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "LA",
"license": "A10515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629090",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.