Individual provider Active NPI

Jeffrey A Harwood, M.D.

  • Family Medicine Physician
  • New London, OH
National Provider Identifier
1669449351
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35056103 Issued in OH
Practice address
187 W Main St
New London, OH 44851-1018
Phone
(419) 929-4357
Fax
(419) 929-0814
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35056103 OH Primary

Addresses

Primary practice location

187 W Main St
New London, OH 44851-1018

Mailing address

187 W Main St
New London, OH 44851-1018
Phone (419) 929-4357

Other identifiers 1

IdentifierTypeStateIssuer
0740952MedicaidOH

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
I20040216000762 OH Practitioner - Family Practice 1658266036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

187 W Main St
New London, OH 44851-1018
Phone (419) 929-4357

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35056103OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Center Current Accepting new patients
Fisher-Titus Medical Care LLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Hospital Medicine Associates of Ohio Professional Corporation Family Medicine Past Accepting new patients
The Laurels of New London, LLC Past Accepting new patients
Fisher-Titus Medical Center Past Accepting new patients

Locations

187 W Main St
New London, OH 44851
Phone (419) 660-0099

115 N Main St
North Fairfield, OH 44855
Phone (419) 744-2249

368 Milan Ave
Ste D
Norwalk, OH 44857
Phone (419) 663-6464

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1669449351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511018",
            "telephone_number": "419-929-4357",
            "fax_number": "419-929-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511018",
            "telephone_number": "419-929-4357",
            "fax_number": "419-929-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35056103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, OH

Sources for this page

Verify at the official NPI Registry.