Active NPI
Arthur S Harris, MD
- Otolaryngology Physician
- Johnson City, TN
National Provider Identifier
1023087194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 9137
- Practice address
- 215 E Watauga Ave
Johnson City, TN 37601-4629 - Phone
- (423) 929-9101
- Fax
- (423) 434-2032
- NPI assigned
- Mar 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 9137 | TN | Primary |
Addresses
Primary practice location
215 E Watauga Ave
Johnson City, TN 37601-4629
Mailing address
3511 Cimarron Dr
Johnson City, TN 37601-1206
Phone (423) 929-9101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49725 | Other | TN | BCBS |
| 3171870 | Medicaid | TN | |
| CA7519 | Other | TN | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 9137 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose and Throat Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Johnson City, TN
- NPI 1598840027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1023087194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 CIMARRON DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011206",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014629",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ARTHUR",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "9137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49725",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171870",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA7519",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.