Active NPI
Thomas M Harkcom, MD
- Rheumatology Physician
- Saint Paul, MN
National Provider Identifier
1942275243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 24066
- Practice address
- 401 Phalen Blvd
Ms 41103a
Saint Paul, MN 55130-5302 - Phone
- (651) 254-7800
- Fax
- (651) 254-7806
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 24066 | MN | Primary |
| Rheumatology Physician | 207RR0500X | 45915 | WI |
Addresses
Primary practice location
401 Phalen Blvd
Ms 41103a
Saint Paul, MN 55130-5302
Mailing address
401 Phalen Blvd
Ms 41103a
Saint Paul, MN 55130-5302
Phone (651) 254-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030282100 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24066 | MN | MD | Clinical Social Worker |
| 45915 | WI | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1942275243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PHALEN BLVD",
"address_2": "MS 41103A",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551305302",
"telephone_number": "651-254-7800",
"fax_number": "651-254-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PHALEN BLVD",
"address_2": "MS 41103A",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551305302",
"telephone_number": "651-254-7800",
"fax_number": "651-254-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKCOM",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "24066",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WI",
"license": "45915",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030282100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.