Active NPI
Gregory Paul Harbach, MD
- Orthopaedic Surgery Physician
- Rhinelander, WI
National Provider Identifier
1679558290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 16162
- Practice address
- 444 E Timber Dr
Rhinelander, WI 54501 - Phone
- (715) 369-2300
- NPI assigned
- Dec 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 16162 | NV | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 2013001919 | MO |
Addresses
Primary practice location
444 E Timber Dr
Rhinelander, WI 54501
Mailing address
444 E Timber Dr
Rhinelander, WI 54501-2852
Phone (715) 369-2300
Other practice location 1
801 E Williams Ave
Suite 3301
Fallon, NV 89406-3052
Phone (775) 867-7757
Other practice location 2
1109 W Clairemont Ave
Eau Claire, WI 54701-6105
Phone (920) 496-4700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200974430A | Medicaid | KS | |
| 1679558290 | Medicaid | NV | |
| 948-320 | Other | WI | STATE LICENSE |
| 1679558290 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 77.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16162 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge Perez, MD LTD | Past | Accepting new patients | |
| Sacred Heart Hospital of the Hospital Sisters -3Rd Order of St | Past | Accepting new patients | |
| Orthopaedic Specialists of Charleston | Foot and Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1477932630
-
- Specialist
- Carson City, NV
- NPI 1871503763
-
- Orthopaedic Foot and Ankle Surgery Physician
- Charleston, SC
- NPI 1679596548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1679558290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 E TIMBER DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545012852",
"telephone_number": "715-369-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 E TIMBER DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-369-2300"
}
],
"practiceLocations": [
{
"address_1": "801 E Williams Ave",
"address_2": "Suite 3301",
"address_purpose": "LOCATION",
"city": "Fallon",
"state": "NV",
"postal_code": "894063052",
"country_code": "US",
"telephone_number": "775-867-7757",
"fax_number": "775-423-8871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1109 W Clairemont Ave",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016105",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARBACH",
"first_name": "GREGORY",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "16162",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MO",
"license": "2013001919",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200974430A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679558290",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "948-320",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679558290",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.