Organization Active NPI

Frank G. Harrell, M.D.

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1760675722
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FH020602 Issued in MI
Legal business name
FRANK G. HARRELL, M.D.
Practice address
1602 Gull Rd
Kalamazoo, MI 49048-1608
Phone
(269) 344-2694
Fax
(269) 344-9001
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Margaret Mort
Title
Office Manager
Phone
(269) 344-2694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FH020602 MI Primary

Addresses

Primary practice location

1602 Gull Rd
Kalamazoo, MI 49048-1608

Mailing address

1602 Gull Rd
Kalamazoo, MI 49048-1608
Phone (269) 344-2694

Other identifiers 1

IdentifierTypeStateIssuer
1003704MedicaidMI

National Provider Directory

National Provider Directory

Locations

1602 Gull Rd
Kalamazoo, MI 49048
Phone (269) 344-2694

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1760675722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481608",
            "telephone_number": "269-344-2694",
            "fax_number": "269-344-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481608",
            "telephone_number": "269-344-2694",
            "fax_number": "269-344-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK G. HARRELL, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "MORT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-344-2694"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "FH020602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003704",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.