Active NPI
Maury K Harwood MD MPH Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- Morgan Hill, CA
National Provider Identifier
1841371069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A79199
- Legal business name
- MAURY K HARWOOD MD MPH INC
- Practice address
- 18181 Butterfield Blvd
Suite 100
Morgan Hill, CA 95037-8108 - Phone
- (408) 778-2663
- Fax
- (408) 778-9197
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maury K Harwood
- Title
- Physician/President
- Phone
- (408) 778-2663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A79199 | CA | Primary |
Addresses
Primary practice location
18181 Butterfield Blvd
Suite 100
Morgan Hill, CA 95037-8108
Mailing address
220 Standiford Ave
Suite F
Modesto, CA 95350-1159
Phone (209) 579-5628
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A791900 | Medicaid | CA | |
| ZZZ65903Z | Other | CA | BLUE SHIELD |
| DE8907 | Other | CA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051221000361 | CA | Part B Supplier - Clinic/Group Practice | 1456373273 |
Receives reassigned benefits from 3 practitioners Practice locations: Morgan Hill, CA |
National Provider Directory
National Provider DirectoryLocations
18181 Butterfield Blvd
Ste 100
Morgan Hill, CA 95037
Phone (408) 778-2663
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Morgan Hill, CA
- NPI 1043391352
CA, Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1841371069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE",
"address_2": "SUITE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "209-579-5628",
"fax_number": "209-579-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18181 BUTTERFIELD BLVD",
"address_2": "SUITE 100",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950378108",
"telephone_number": "408-778-2663",
"fax_number": "408-778-9197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURY K HARWOOD MD MPH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "HARWOOD",
"authorized_official_first_name": "MAURY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "408-778-2663"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A79199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A791900",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ65903Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DE8907",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.