Provider Demographics
NPI:1871699124
Name:HARVEY, BARBARA JAMES (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JAMES
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 LINCOLN STREET
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840
Mailing Address - Country:US
Mailing Address - Phone:570-882-8805
Mailing Address - Fax:
Practice Address - Street 1:417 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810
Practice Address - Country:US
Practice Address - Phone:570-888-8886
Practice Address - Fax:570-888-8876
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA-057328-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E71396Medicare UPIN
HA806934Medicare ID - Type Unspecified