MEDICARE: DR. THOMAS F HARMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	16947	WV
2	207VG0400X	Gynecology Physician	16947	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001710732	OTHER	WV	BCBS

General Provider Information

NPI Number	:	1427012830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS F HARMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1615
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26507-1615
Country	:	US
Telephone Number	:	304-599-6811
Fax Number	:	304-599-7159

Provider Business Practice Location Address
First Line	:	1000 JD ANDERSON DR
Second Line	:	STE 402
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1238
Country	:	US
Telephone Number	:	304-599-6811
Fax Number	:	304-599-7159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	01/03/2017

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