Provider Demographics
NPI:1093777559
Name:HARVEY, DAVID C (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CANDICE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1243
Mailing Address - Country:US
Mailing Address - Phone:413-320-8001
Mailing Address - Fax:413-748-7288
Practice Address - Street 1:271 CAREW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:413-748-7400
Practice Address - Fax:413-748-7288
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204157208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04-3194547OtherGREAT-WEST
MA04-3194547OtherUNICARE/GIC
MA04-3194547OtherUNITED HEALTHCARE
MA204149OtherHARVARD PILGRIM
MA204157-1275OtherCONNECTICARE
MA04-3194547OtherNORTHEAST HEALTHCARE ALLI
MA204157OtherTUFTS
MA000000026287OtherBMC
MA0124851Medicaid
MA04-3194547OtherCONSOLIDATED
MA04-3194547OtherPLAN VISTA
MAJ23157OtherBCBS MA
MA04-3194547OtherNORTHEAST HEALTH DIRECT
MA8429298010OtherCIGNA
MA04-3194547OtherNORTH AMERICAN PREFERRED
MA04-3194547OtherPHCS
MA2520169OtherAETNA
MA27489OtherHEALTH NEW ENGLAND
MA04-3194547OtherPHCS
MA2520169OtherAETNA