Active NPI
Russell C Harms, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Brazil, IN
National Provider Identifier
1902014301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 41000207-A
- Practice address
- 1214 E National Ave
Suit 130
Brazil, IN 47834-2700 - Phone
- (812) 448-9290
- Fax
- (812) 448-9296
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 41000207-A | IN | Primary |
| Podiatrist | 213E00000X | 07001065A | IN |
Addresses
Primary practice location
1214 E National Ave
Suit 130
Brazil, IN 47834-2700
Mailing address
1214 E National Ave
Suit 130
Brazil, IN 47834-2700
Phone (812) 448-9290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000601499 | Other | IN | ANTHEM |
| 200910370 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41000207-A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Foot Care LLC | Podiatrist | Current | Accepting new patients |
| Clay County Podiatry, LLC | Podiatrist | Past | Accepting new patients |
| Russell Harms DPM PC | Foot & Ankle Surgery | Past | Accepting new patients |
| Podiatry Associates of Indiana PC | Podiatrist | Past | Accepting new patients |
Locations
1024 S 6th St
Ste 102
Terre Haute, IN 47807
Phone (812) 232-3338
1543 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3338
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Terre Haute, IN
- NPI 1831422195
Foot & Ankle Surgery
-
- Podiatrist
- Terre Haute, IN
- NPI 1588737183
-
- Foot & Ankle Surgery Podiatrist
- Indianapolis, IN
- NPI 1073606935
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1902014301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 E NATIONAL AVE",
"address_2": "SUIT 130",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342700",
"telephone_number": "812-448-9290",
"fax_number": "812-448-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 E NATIONAL AVE",
"address_2": "SUIT 130",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342700",
"telephone_number": "812-448-9290",
"fax_number": "812-448-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMS",
"first_name": "RUSSELL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "41000207-A",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001065A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000601499",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200910370",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.