Individual provider Active NPI

Hathaway K Harvey, M.D.

  • Otolaryngology Physician
  • Hixson, TN
National Provider Identifier
1770541104
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD6781 Issued in TN
Practice address
1724 Hamil Road
Ste 102 Oasis Park Building I
Hixson, TN 37343-4905
Phone
(423) 267-6738
Fax
(423) 209-9106
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000006781 TN
Otolaryngology Physician 207Y00000X MD6781 TN Primary

Addresses

Primary practice location

1724 Hamil Road
Ste 102 Oasis Park Building I
Hixson, TN 37343-4905

Mailing address

P.O. Box 669
Hixson, TN 37343-4905
Phone (423) 267-6738

Other identifiers 1

IdentifierTypeStateIssuer
3149162MedicaidTN

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

LicenseStateTypeSpecialty
MD0000006781TNMDSpecialist
6781TNMDPharmacist
MD6781TNMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1770541104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 669",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-267-6738",
            "fax_number": "423-209-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMIL ROAD",
            "address_2": "STE 102 OASIS PARK BUILDING I",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-267-6738",
            "fax_number": "423-209-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "HATHAWAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000006781",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD6781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149162",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.