Active NPI
David Harris, MD
- Anesthesiology Physician
- Palm City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME61067
- Practice address
- 2381 SW Racquet Club Dr
Palm City, FL 34990-2608 - Phone
- (772) 418-2036
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME61067 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 2009-00912 | NC |
Addresses
Primary practice location
2381 SW Racquet Club Dr
Palm City, FL 34990-2608
Mailing address
2381 SW Racquet Club Dr
Palm City, FL 34990-2608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14919 | Other | FL | BCBS OF FLORIDA |
| 377132600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091118000064 | FL | Practitioner - Anesthesiology | 9234159542 | Reassigns benefits to 2 organizations |
| I20170207002331 | NC | Practitioner - Anesthesiology | 9234159542 | |
| I20170411000044 | NY | Practitioner - Anesthesiology | 9234159542 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0043395 | FL | MD | Anesthesiology Physician |
| ME61067 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| St Lucie Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of New York, P.C. | Anesthesiology | Current | Accepting new patients |
| Surgery Center of Okeechobee, LLC | Past | Accepting new patients | |
| Martin County Pain Clinic PL | Past | Accepting new patients | |
| Highlands Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
Locations
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
10080 SW Innovation Way
Ste 101
Port St Lucie, FL 34987
Phone (561) 358-2445
3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288
134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1700044252
Anesthesiology, FL
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
Anesthesiology, NY
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Anesthesiology
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1851252902
Anesthesiology
-
- Non-Pharmacy Dispensing Site
- Stuart, FL
- NPI 1942252531
-
- Ambulatory Surgical Clinic/Center
- Okeechobee, FL
- NPI 1700843539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1013961374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2381 SW RACQUET CLUB DR",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2381 SW RACQUET CLUB DR",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902608",
"telephone_number": "772-418-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME61067",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2009-00912",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "14919",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377132600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.