Provider Demographics
NPI:1396722757
Name:HARVEY, HARRY C (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:C
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8077 ROSE HILL DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8077 ROSE HILL DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2811
Practice Address - Country:US
Practice Address - Phone:812-853-7363
Practice Address - Fax:812-858-5723
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01035565A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080191294OtherRAILROAD MEDICARE
IN100103290Medicaid
043679294008OtherUNICARE
195773OtherHEALTHLINK
601182601OtherWCOM2G DEPT. OF LABOR
IN000000245583OtherBCBS
04367929419OtherDONLEY & CO.
079347OtherHEALTH ALLIANCE
043679294016OtherCHAMPUS
195773OtherHEALTHLINK
IN100103290Medicaid