Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC001767L | PA |
Y | 222Z00000X | Podiatrist | SC001767L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC001767L | PA |
NPI | 1205821212 |
---|---|
Provider Name | Dr. Harvey Lemont |
First Address | Philadelphia, PA 19182-7282 |
Second Address | Philadelphia, PA 19107-2496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005068160004 | (05) | PA |
0060676000 | KEYSTONE HEALTH PLAN HMO (01) | PA |
021451 | STATE LAB LICENSE NUMBER (01) | PA |
1007457 | KEYSTONE MERCY (01) | PA |
137290NSG | MEDICARE ID (01) | PA |
231365971 | HUMANA (01) | PA |
231365971 | UNITED HEALTHCARE (01) | PA |
231365971071 | TRI-CARE (01) | PA |
28824 | HEALTH PARTNERS (01) | PA |
31299 | AETNA (01) | PA |
33D065795851 | CLIA (01) | |
391132 | CIGNA (01) | PA |
39D065795851 | CLIA (01) | |
3Y2061 | HEALTH NET (01) | PA |
441287 | HEALTH AMERICA HEALTH ASSURANCE (01) | PA |
464309 | NJ MEDICAL ASSISTANCE (01) | NJ |
480031456 | RAILROAD MEDICARE (01) | PA |
506816 | (05) | PA |
50681603 | HMA (01) | PA |
9257 | ELDER HEALTH / BRAVO (01) | PA |
991086 | KEYSTONE HEALTH PPO (01) | PA |
A37290 | INTER CITY (01) | PA |
LA300113 | MEDICARE LAB (01) | |
LE137290 | BLUE SHIELD OF PA (01) | PA |
PHS834 | OXFORD (01) | PA |
T29483 | (02) |