Active NPI
Hathaway K Harvey, M.D.
- Otolaryngology Physician
- Hixson, TN
National Provider Identifier
1770541104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD6781
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3149162 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000006781 | TN | MD | Specialist |
| 6781 | TN | MD | Pharmacist |
| MD6781 | TN | MD | Otolaryngology 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.