Individual provider Active NPI

Harry Kolodner, M.D.

  • Ophthalmology Physician
  • Palm Harbor, FL
National Provider Identifier
1932131018
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME33861 Issued in FL
Practice address
33920 US Highway 19N
Suite 275
Palm Harbor, FL 34684-2676
Phone
(727) 784-1121
Fax
(727) 781-4788
NPI assigned
Jul 7, 2006
Last updated
Sep 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME33861 FL Primary

Addresses

Primary practice location

33920 US Highway 19N
Suite 275
Palm Harbor, FL 34684-2676

Mailing address

33920 US Highway 19 N
Suite 275
Palm Harbor, FL 34684-2676
Phone (727) 784-1121

Other identifiers 2

IdentifierTypeStateIssuer
ME33861OtherFLMEDICAL LICENSE NUMBER
038877700MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME33861FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Kolodner MD Ophthalmology PastSince Jan 1, 1990 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1932131018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N",
            "address_2": "SUITE 275",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842676",
            "telephone_number": "727-784-1121",
            "fax_number": "727-781-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19N",
            "address_2": "SUITE 275",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842676",
            "telephone_number": "727-784-1121",
            "fax_number": "727-781-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODNER",
        "first_name": "HARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME33861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME33861",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038877700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.