Individual provider Active NPI

Russell C Harms, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brazil, IN
National Provider Identifier
1902014301
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
41000207-A Issued in IN
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

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000601499OtherINANTHEM
200910370MedicaidIN

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
41000207-AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Foot Care LLC Podiatrist CurrentSince Sep 22, 2019 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 PastSince Sep 23, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.