Organization Active NPI

Maury K Harwood MD MPH Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Morgan Hill, CA
National Provider Identifier
1841371069
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A79199 Issued in CA
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

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Maury K HarwoodNPI 1043391352
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)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A791900MedicaidCA
ZZZ65903ZOtherCABLUE SHIELD
DE8907OtherCARAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.