Provider Demographics
NPI:1831124379
Name:HARPER, RACHEL MEADE (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MEADE
Last Name:HARPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2701
Mailing Address - Country:US
Mailing Address - Phone:859-258-6520
Mailing Address - Fax:859-258-6539
Practice Address - Street 1:1221 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2701
Practice Address - Country:US
Practice Address - Phone:859-258-6520
Practice Address - Fax:859-258-6539
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31415207RH0003X, 207RX0202X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64314156Medicaid
KY37903705OtherMEDICAID LAB GRP
GACB5773OtherRR MEDICARE GRP
KY4000501OtherMEDICARE LAB GRP
KY64314156Medicaid
KY37903705OtherMEDICAID LAB GRP
KY0685107Medicare ID - Type Unspecified
KY0369513Medicare PIN