NPI Code Details Logo

NPI 1083848550

NPI 1083848550 : DAVID W HARVEY MD : AVON, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083848550
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAVID W HARVEY MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/12/2009
-----------------------------------------------------
    Last Update Date     |    02/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1115 RONALD REAGAN PKWY STE 141 
-----------------------------------------------------
    City                 |    AVON
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46123-6913
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-948-5450
-----------------------------------------------------
    Fax                  |    317-217-2585
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    250 N SHADELAND AVE 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46219-4959
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084E0001X
-----------------------------------------------------
    Taxonomy Name        |    Epilepsy Physician
-----------------------------------------------------
    License Number       |    01072360A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084N0600X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neurophysiology Physician
-----------------------------------------------------
    License Number       |    01072360A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    01072360A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.