Active NPI
Sandra L Harris, MD
- Infectious Disease Physician
- Lewiston, ME
National Provider Identifier
1003895715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD13741
- Practice address
- 99 Campus Ave
Suite 301
Lewiston, ME 04240-6045 - Phone
- (207) 777-4320
- Fax
- (207) 777-4331
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD13741 | ME | Primary |
Addresses
Primary practice location
99 Campus Ave
Suite 301
Lewiston, ME 04240-6045
Mailing address
PO Box 1638
Albany, NY 12201-1638
Phone (207) 777-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13741 | ME | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1003895715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1638",
"city": "ALBANY",
"state": "NY",
"postal_code": "122011638",
"telephone_number": "207-777-4111",
"fax_number": "207-783-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CAMPUS AVE",
"address_2": "SUITE 301",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406045",
"telephone_number": "207-777-4320",
"fax_number": "207-777-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "ME",
"license": "MD13741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.