Individual provider Active NPI

Scott M Harris, MD

  • Specialist
  • Bourne, MA
National Provider Identifier
1023007283
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
44375 Issued in MA
Practice address
One Trowbridge Road
Bourne, MA 02532
Phone
(508) 759-9200
Fax
(508) 743-0740
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 44375 MA Primary

Addresses

Primary practice location

One Trowbridge Road
Bourne, MA 02532

Mailing address

25 Communication Way
Medical Affiliates of Cape Cod
Hyannis, MA 02601
Phone (508) 957-8669

Other identifiers 4

IdentifierTypeStateIssuer
3015017MedicaidMA
J03208OtherMABCBS
044375OtherMATUFTS
17016OtherMAHPHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000072 MA Practitioner - Orthopedic Surgery 6901829738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44375MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 25, 1979 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 25, 1979 Accepting new patients
Orthopaedic Specialists Inc Specialist Past Accepting new patients

Locations

1 Trowbridge Rd
Bourne, MA 02532
Phone (508) 743-9563

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

25 Communication Way
Hyannis, MA 02601
Phone (508) 957-8669

27 Park St
#2
Hyannis, MA 02601
Phone (508) 862-5891

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1023007283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATION WAY",
            "address_2": "MEDICAL AFFILIATES OF CAPE COD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-957-8669",
            "fax_number": "508-957-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE TROWBRIDGE ROAD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "02532",
            "telephone_number": "508-759-9200",
            "fax_number": "508-743-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "44375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015017",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J03208",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "044375",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "17016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourne, MA

Sources for this page

Verify at the official NPI Registry.