CARROLL M HARMON MD NPI 1417993643

NPI Information

NPI: 1417993643
Provider Name: CARROLL M HARMON, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: KALEIDA HEALTH

PECOS Registration: Yes

Address:
619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4011
Get Directions

Carroll M Harmon, MD is a pediatric surgery surgery in Birmingham, AL with 41 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Carroll M Harmon, MD NPI is 1417993643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4011

The NPI 1417993643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 9/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		23731	ALABAMA	No
2	2086S0120X	Surgery	Pediatric Surgery	23731	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051520308	OTHER	ALABAMA	BLUE CROSS
2	1425435	OTHER	LOUISIANA	EMERGENCY LA MEDICAID
3	051500217	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
4	009946865	MEDICAID	ALABAMA
5	051520485	OTHER	ALABAMA	BLUE CROSS
6	000060813	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
7	000060813	OTHER	ALABAMA	BLUE CROSS
8	370018130	OTHER	ALABAMA	RAILROAD MEDICARE
9	051060813	OTHER	ALABAMA	BLUE CROSS
10	051500217	OTHER	ALABAMA	BLUE CROSS
11	009943085	MEDICAID	ALABAMA
12	051500217	MEDICAID	ALABAMA
13	00124774	OTHER	MISSISSIPPI	MISSISSIPPI MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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