Active NPI
David John De Harter, MD
- Radiation Oncology Physician
- Palm City, FL
National Provider Identifier
1699766196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME71228
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32407 | Other | FL | BCBS |
| 252150400 | Medicaid | FL | |
| 920004980 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Dr. David John Harter
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0071228 | FL | MD | Radiation Oncology Physician |
| ME71228 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramesh Kumar M.D. P.a. | Radiation Oncology | Past | Accepting new patients |
| Stuart Oncology Associates, PA | Past | Accepting new patients | |
| Mid-Florida Radiation Oncology PA | Past | Accepting new patients | |
| Mid Florida Radiation Oncology Asso | Past | 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.
-
- Hematology & Oncology Physician
- Okeechobee, FL
- NPI 1588844427
-
- Radiation Oncology Clinic/Center
- Port St Lucie, FL
- NPI 1285784389
-
- Radiation Oncology Physician
- Okeechobee, FL
- NPI 1831142942
-
- Hematology & Oncology Physician
- Stuart, FL
- NPI 1902858822
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.