Provider Demographics
NPI:1891772240
Name:HARVEY, RONALD (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
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 1:860 BETHESDA DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1800
Mailing Address - Country:US
Mailing Address - Phone:740-454-4651
Mailing Address - Fax:740-454-4653
Practice Address - Street 1:1210 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2806
Practice Address - Country:US
Practice Address - Phone:740-454-8551
Practice Address - Fax:740-454-2411
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35045974H207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000019889OtherANTHEM PIN
OH000000177719OtherUNISON PIN
OH0193779OtherUHC PIN
OH080062381OtherMEDICARE RAILROAD
OH04661003Medicaid
OH0989499OtherGROUP MEDICAID
CA1586OtherGROUP MEDICARE RAILROAD
OH311413469057OtherCARESOURCE PIN
OH080062381OtherMEDICARE RAILROAD
HA0498344Medicare ID - Type Unspecified
9270902Medicare PIN