Healthcare Provider Details

I. General information

NPI: 1184663809
Provider Name (Legal Business Name): JAMES HARNDEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W CHERRY ST SUITE D
SUNBURY OH
43074-8028
US

IV. Provider business mailing address

575 COPELAND MILL RD SUITE #1D
WESTERVILLE OH
43081-8977
US

V. Phone/Fax

Practice location:
  • Phone: 740-965-8305
  • Fax: 614-794-3711
Mailing address:
  • Phone: 614-794-0481
  • Fax: 614-794-3711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34002370-H
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: