Individual provider Active NPI

Peter Gerard Harvey, LAC, MSOM, FABORM

  • Acupuncturist
  • Wheaton, IL
National Provider Identifier
1801418363
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.00534 Issued in IL
Practice address
200 East Willow Avenue
Suite 202
Wheaton, IL 60187
Phone
(630) 653-4358
Fax
(630) 653-8101
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.00534 IL Primary

Addresses

Primary practice location

200 East Willow Avenue
Suite 202
Wheaton, IL 60187

Mailing address

200 East Willow Avenue
Suite 202
Wheaton, IL 60187
Phone (630) 653-4358

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198.00534ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Healing Inc. Acupuncturist CurrentSince May 10, 2020 Accepting new patients

Locations

200 E Willow Ave
Ste 202
Wheaton, IL 60187
Phone (630) 653-4358

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1801418363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST WILLOW AVENUE",
            "address_2": "SUITE 202",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-653-4358",
            "fax_number": "630-653-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST WILLOW AVENUE",
            "address_2": "SUITE 202",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-653-4358",
            "fax_number": "630-653-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "PETER",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "LAC, MSOM, FABORM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.00534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.