Active NPI
Scott M Harris, MD
- Specialist
- Bourne, MA
National Provider Identifier
1023007283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 44375
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3015017 | Medicaid | MA | |
| J03208 | Other | MA | BCBS |
| 044375 | Other | MA | TUFTS |
| 17016 | Other | MA | HPHC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44375 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Affiliates of Cape Cod, Inc. | Current | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Current | 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.
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
-
- Ambulatory Surgical Clinic/Center
- Mashpee, MA
- NPI 1306391206
-
- Specialist
- Brockton, MA
- NPI 1730178260
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.