David D Harrell, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

068813 Issued in MI

Practice address

1761 W M-43 Hwy
Suite 1
Hastings, MI 49058-8378

Phone

(269) 945-3888

Fax

(269) 945-2112

NPI assigned

Apr 12, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thornapple Ophthalmology Assoc PCGroup PAC ID 8729187737, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Thornapple Ophthalmology Assoc PC

  dba Advanced Eyecare Professionals

  • Ophthalmology Physician
  • Hastings, MI
  • NPI 1396832937
  Medicare reassignment Care Compare group NPD
• Thornapple Ophthalmolgy Thornapple Ophthalmolgy Assoc PC

  dba Advanced Eyecare Professionals

  • Ophthalmology Physician
  • Ionia, MI
  • NPI 1013100155
  NPD (past)
• Thornapple Ophthalmology Thornapple Ophthalmology Assoc PC

  dba Advanced Eyecare Professionals

  • Ophthalmology Physician
  • Lowell, MI
  • NPI 1841483989
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1902860661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W M-43 HWY",
            "address_2": "SUITE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588378",
            "telephone_number": "269-945-3888",
            "fax_number": "269-945-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W M-43 HWY",
            "address_2": "SUITE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588378",
            "telephone_number": "269-945-3888",
            "fax_number": "269-945-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "068813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3272766",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashly Hamberg, LLP
• Mark Theodore Hamilton, LLP
• Karen Hammond, PTA
• Hanover Home Care, Inc.
• Amy Ossiff Hansen
• Joleigha Harrington, LMSW
• Diane Hart, CDE
• Holly Ann Hart, LPC
• Liam Hartson, MS, OTR/L
• Katie J Harvath

• Ophthalmology Physician in Hastings, MI
• Providers in Hastings, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.