NPIMap

Organization Active NPI

H. Thomas Harvey

  • Primary Care Clinic/Center
  • Salem, OR
National Provider Identifier
1871919639
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD11557 Issued in OR
Legal business name
H. THOMAS HARVEY
Practice address
2995 Ryan Dr SE
Suite 200
Salem, OR 97301-5157
Phone
(503) 371-7701
NPI assigned
Mar 17, 2014
Organization subpart
Yes
Parent organization
WVP MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Michelle Eldridge
Title
Clinic Administrator
Phone
(503) 362-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD11557 OR Primary

Addresses

Primary practice location

2995 Ryan Dr SE
Suite 200
Salem, OR 97301-5157

Mailing address

1155 Mission St SE
Suite 205
Salem, OR 97302-6228
Phone (503) 362-6304

Other identifiers 1

IdentifierTypeStateIssuer
041947MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Medical Management LLC3 organizations share this tax ID, including this one
Part of
Medical Management LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1871919639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MISSION ST SE",
            "address_2": "SUITE 205",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026228",
            "telephone_number": "503-362-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 RYAN DR SE",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015157",
            "telephone_number": "503-371-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. THOMAS HARVEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WVP MEDICAL GROUP",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "503-362-6304"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD11557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041947",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.