NPIMap

Organization Active NPI

John E Harris MD PA

  • Family Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1033380308
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1963 Issued in AR
Legal business name
JOHN E HARRIS MD PA
Practice address
1801 W 40TH Ave
Suite 5C
Pine Bluff, AR 71603-6940
Phone
(870) 534-0202
Fax
(870) 534-8836
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. John E Harris, MD
Title
Physician
Phone
(870) 534-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E1963 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave
Suite 5C
Pine Bluff, AR 71603-6940

Mailing address

1801 W 40TH Ave
Suite 5C
Pine Bluff, AR 71603-6940
Phone (870) 534-0202

Other identifiers 1

IdentifierTypeStateIssuer
143810002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1033380308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 5C",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-534-0202",
            "fax_number": "870-534-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 5C",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-534-0202",
            "fax_number": "870-534-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E HARRIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-534-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143810002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.