Active NPI
Peter Marshall Harvey, D.P.M.
- Foot Surgery Podiatrist
- Wichita Falls, TX
National Provider Identifier
1730185190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 346
- Practice address
- 1612 10TH St
Wichita Falls, TX 76301-4307 - Phone
- (940) 723-1054
- Fax
- (940) 723-4646
- NPI assigned
- Jun 21, 2005
- Last updated
- Nov 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 346 | TX | Primary |
Addresses
Primary practice location
1612 10TH St
Wichita Falls, TX 76301-4307
Mailing address
1612 10TH St
Wichita Falls, TX 76301-4307
Phone (940) 723-1054
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0346 | Other | TX | STATE LICENSE NUMBER |
| 000826001 | Medicaid | TX | |
| 482039423 | Other | TX | MEDICAID DMERC NUMBER |
| 00F621 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304001011 | TX | Practitioner - Podiatry | 4183769821 | Practice locations: Wichita Falls, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1612 10TH St
Wichita Falls, TX 76301-4307
Phone (940) 723-1054
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 154 |
| Removal or shaving of skin growth | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346 | TX | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- pharvey13917@unitedregional.medalliesdirect.net
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.
-
- Durable Medical Equipment & Medical Supplies
- Wichita Falls, TX
- NPI 1205018553
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1730185190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 10TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014307",
"telephone_number": "940-723-1054",
"fax_number": "940-723-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 10TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014307",
"telephone_number": "940-723-1054",
"fax_number": "940-723-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "PETER",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "0346",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000826001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DMERC NUMBER",
"identifier": "482039423",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00F621",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.