Active NPI
Gerald Arthur Harriman, D.O.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 5101009348
- Practice address
- 1050 W Western Ave
400
Muskegon, MI 49441-1694 - Phone
- (231) 728-3442
- Fax
- (231) 722-0708
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101009348 | MI | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 5101009348 | MI | Primary |
Addresses
Primary practice location
1050 W Western Ave
400
Muskegon, MI 49441-1694
Mailing address
1050 W Western Ave
400
Muskegon, MI 49441-1694
Phone (231) 728-3442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1739797 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners - Physician Specialist | Current | Accepting new patients | |
| Hospice of Muskegon County, Inc. | Hospice and Palliative Medicine | Past | Accepting new patients |
Locations
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Harbor Hospice | Hospice | W-2 Managing Employee | Jun 7, 2006 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Harbor Hospice
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
- NPI 1740283787
W-2 Managing Employee
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1922248772
-
dba Harbor Palliative Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
- NPI 1306239314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1720026867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W WESTERN AVE",
"address_2": "400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411694",
"telephone_number": "231-728-3442",
"fax_number": "231-722-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W WESTERN AVE",
"address_2": "400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411694",
"telephone_number": "231-728-3442",
"fax_number": "231-722-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIMAN",
"first_name": "GERALD",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101009348",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "MI",
"license": "5101009348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1739797",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.