Provider Demographics
NPI:1497742589
Name:PIERCE, HARVEY JAMES III (MD)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:JAMES
Last Name:PIERCE
Suffix:III
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 1:1434 CIRCLEVILLE PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-2269
Mailing Address - Country:US
Mailing Address - Phone:740-420-7975
Mailing Address - Fax:
Practice Address - Street 1:1434 CIRCLEVILLE PLAZA DR
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-2269
Practice Address - Country:US
Practice Address - Phone:740-420-7975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043570P207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E95410Medicare UPIN
OHPI078124Medicare ID - Type Unspecified