Carl Randall Harrell, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME0056244 Issued in FL

Practice address

34156 US Highway 19 N
Palm Harbor, FL 34684-2145

Phone

(727) 781-0818

Fax

(727) 787-7512

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cosmetic Medicine Enterprises Inc

  • Plastic and Reconstructive Surgery Physician
  • Palm Harbor, FL
  • NPI 1093228587

  Plastic Surgery

  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700913233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34156 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842145",
            "telephone_number": "727-781-0818",
            "fax_number": "727-787-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34156 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842145",
            "telephone_number": "727-781-0818",
            "fax_number": "727-787-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "CARL",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0056244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harhar Mahadev LLC
• Lawrence Michael Harkins, DMD
• Nancy Harkins, ED.S.
• Harp Pediatric Dentistry
• Harperlink LLC
• Hannah Noel Harris
• Kurt N Harris, M.D.
• Marzett Charles Harris, M.S., LPC, LMHC
• Harry Kolodner MD
• Harry Kolodner MD

• Plastic Surgery Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.