Mark E Harms, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-00078 Issued in KS

Practice address

202 S 9TH St
Humboldt, KS 66748-1908

Phone

(620) 473-2275

Fax

(620) 473-2821

NPI assigned

Jan 6, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1861470031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481908",
            "telephone_number": "620-473-2275",
            "fax_number": "620-473-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481908",
            "telephone_number": "620-473-2275",
            "fax_number": "620-473-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00182773",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "384520",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Center of Southeast Kansas, Inc.
• Kelli Eccles, APRN
• Florida Senior Housing Council, Inc. (Pinecrest Nursing Home)
• Elizabeth Garton, PMHNP
• Moriah Marie Haigler
• Cody Haviland
• Headwind International, LTD
• Humboldt Assisted Living, LLC (Arrowood Lane)
• James Eugene Jefferis
• Christina Leonard Seufert, RPH

• Medical Physician Assistant in Humboldt, KS
• Providers in Humboldt, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.