Individual provider Active NPI

David John De Harter, MD

  • Radiation Oncology Physician
  • Palm City, FL
National Provider Identifier
1699766196
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME71228 Issued in FL
Practice address
4811 SW Thistle Ter
Palm City, FL 34990-3948
Phone
(772) 971-5111
Fax
(281) 337-2611
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0071228 FL
Radiation Oncology Physician 2085R0001X ME71228 FL Primary

Addresses

Primary practice location

4811 SW Thistle Ter
Palm City, FL 34990-3948

Mailing address

4811 SW Thistle Ter
Palm City, FL 34990-3948
Phone (772) 971-5111

Other identifiers 3

IdentifierTypeStateIssuer
32407OtherFLBCBS
252150400MedicaidFL
920004980OtherFLRAILROAD MEDICARE

Other names 1

  • Dr. David John Harter Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0071228FLMDRadiation Oncology Physician
ME71228FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramesh Kumar M.D. P.a. Radiation Oncology PastSince Sep 1, 2004 Accepting new patients
Stuart Oncology Associates, PA PastSince May 12, 2021 Accepting new patients
Mid-Florida Radiation Oncology PA Past Accepting new patients
Mid Florida Radiation Oncology Asso PastSince Jan 3, 2000 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1699766196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SW THISTLE TER",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903948",
            "telephone_number": "772-971-5111",
            "fax_number": "281-337-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 SW THISTLE TER",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903948",
            "telephone_number": "772-971-5111",
            "fax_number": "281-337-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HARTER",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0071228",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME71228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32407",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252150400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920004980",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "HARTER",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.