JACK ANDREW HARVEY (NPI# 1033475678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033475678 |
| Entity Type | Individual |
| Full Name | JACK ANDREW HARVEY |
| Credential | D.P.M |
| Practice Address |
1234 E North St Ste 106 Manteca CA 95336-4961 |
| Practice Telephone | 2098232700 |
| Mailing Telephone | 2098232700 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E-5204 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E-5204 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5204 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790937 | Jack Wayne Harvey | Orthopaedic Surgery | 925 Seton Dr, Cumberland, MD 21502-1817 | 2005-06-16 |
| 1912096074 | Jack C Harvey | Chiropractor | 425 W Rockrimmon Blvd Ste 100, Colorado Springs, CO 80919-1767 | 2006-10-12 |
| 1326020850 | Jack Wayne Harvey II | Optometrist | 506 N Centre St, Cumberland, MD 21502-2103 | 2005-11-18 |
| Street Address |
1234 E NORTH ST STE 106 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530236 | Yong L Shih | Surgery | 1234 E North St, Suite 105, Manteca, CA 95336-4960 | 2005-12-22 |
| 1659715639 | First Choice Physician Partners | Orthopaedic Surgery | 1234 E North St, # 103, Manteca, CA 95336-4960 | 2013-04-22 |
| 1760724637 | First Choice Physician Partners | Orthopaedic Surgery | 1234 E North St, Ste 103, Manteca, CA 95336-4960 | 2013-03-19 |
| 1063688299 | Renee Jeanne Lee | Nurse Practitioner | 1234 E North St, Suite 102, Manteca, CA 95336-4960 | 2008-05-07 |
| 1063682169 | Eugene V. Nguyen, M.d., Inc | Family Medicine | 1234 E North St, Ste 106, Manteca, CA 95336-4960 | 2008-03-04 |
| 1427263516 | Eugene V Nguyen | Family Medicine | 1234 E North St, Ste 106, Manteca, CA 95336-4960 | 2007-05-11 |
| 1063596625 | Abbas Kashani Md Inc | Otolaryngology | 1234 E North St, 202, Manteca, CA 95336-4960 | 2006-10-24 |
| 1578653028 | Tonja Lynette Harris-stansil | Specialist | 1234 E North St, Ste. 102, Manteca, CA 95336-4960 | 2006-10-13 |
| 1871698993 | Jeffrey O Mcgillicuddy | Orthopaedic Surgery | 1234 E North St, Suite 103, Manteca, CA 95336-4960 | 2006-09-13 |
| 1760594105 | Santokh Bhullar | Internal Medicine | 1234 E North St, Suite 201, Manteca, CA 95336-4960 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689052482 | Jack Andrew Harvey Dpm, Inc. | Podiatrist | 1210 E North St, Manteca, CA 95336-4962 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.