Individual provider Active NPI

Dustin Taylor Harmon, D.O.

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
National Provider Identifier
1801215058
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101020961 Issued in MI
Practice address
310 Lafayette Ave SE Ste 300
Grand Rapids, MI 49503-4693
Phone
(616) 685-3450
Fax
(616) 685-3460
NPI assigned
Apr 15, 2014
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101020961 MI
Cardiovascular Disease Physician 207RC0000X 5101020961 MI Primary
Interventional Cardiology Physician 207RI0011X 5101020961 MI

Addresses

Primary practice location

310 Lafayette Ave SE Ste 300
Grand Rapids, MI 49503-4693

Mailing address

310 Lafayette Ave SE Ste 300
Grand Rapids, MI 49503-4693
Phone (616) 685-3450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603001442 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1759684665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 Lafayette Ave SE
Suite 301
Grand Rapids, MI 49503-4693
Phone (616) 685-7850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020961MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Sep 1, 2023 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jul 15, 2021 Accepting new patients
Henry Ford Semi Medical Group Internal Medicine CurrentSince Jul 15, 2021 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease CurrentSince Nov 24, 2021 Accepting new patients
Henry Ford Semi Medical Group Internal Medicine Current Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Sep 1, 2023 Accepting new patients
Detroit Macomb-Oakland Hospital Corporation Internal Medicine Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

1000 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-3450

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

310 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 685-6900

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080

30229 Schoenherr Rd
Warren, MI 48088
Phone (586) 573-7971

8545 Common Rd
Ste 150
Warren, MI 48093
Phone (586) 573-7971

Interoperability endpoints

  • Direct secure messaging: dharman558887@direct.hfhs.org
  • Direct secure messaging: dharmon2890956@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1801215058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-685-3450",
            "fax_number": "616-685-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-685-3450",
            "fax_number": "616-685-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "DUSTIN",
        "middle_name": "TAYLOR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020961",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101020961",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "5101020961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.