NPIMap

Individual provider Active NPI

Heath Harrom, M.D.

  • Anesthesiology Physician
  • Dickson, TN
National Provider Identifier
1780894154
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
46269 Issued in TN
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(615) 446-0446
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 46269 TN Primary

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

PO Box 116
Burns, TN 37029-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001314 PA Practitioner - Anesthesiology 4385760602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of North America PCGroup PAC ID 1658698824, 49 clinicians

Practice addresses (Care Compare)

2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46269TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of North America P.C. Anesthesiology CurrentSince Apr 1, 2015 Accepting new patients
Mira Healthcare of Tennessee, PLLC Anesthesiology Past Accepting new patients

Locations

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

7918 Main St
Unit 204
Fogelsville, PA 18051
Phone (610) 366-9536

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1780894154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "BURNS",
            "state": "TN",
            "postal_code": "370290116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-446-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROM",
        "first_name": "HEATH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "46269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.