Organization Active NPI

Andrew P Harakas MD PA

  • Specialist
  • Gaffney, SC
National Provider Identifier
1881604965
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24069 Issued in SC
Legal business name
ANDREW P HARAKAS MD PA
Practice address
1552 N Limestone St
Suite C
Gaffney, SC 29340
Phone
(864) 488-9595
Fax
(864) 488-9546
NPI assigned
Aug 9, 2006
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Andrew P Harakas, MD
Title
Sole Proprietor
Phone
(864) 488-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24069 SC Primary

Addresses

Primary practice location

1552 N Limestone St
Suite C
Gaffney, SC 29340

Mailing address

1552 N Limestone St
Suite C
Gaffney, SC 29340
Phone (864) 488-9595

Other identifiers 1

IdentifierTypeStateIssuer
N33057MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1881604965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 N LIMESTONE ST",
            "address_2": "SUITE C",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29340",
            "telephone_number": "864-488-9595",
            "fax_number": "864-488-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 N LIMESTONE ST",
            "address_2": "SUITE C",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29340",
            "telephone_number": "864-488-9595",
            "fax_number": "864-488-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW P HARAKAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "HARAKAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "864-488-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "24069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N33057",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.