Nathan Phillip Harris, MD
Individual provider Active NPI Internal Medicine Physician · Park Rapids, MN
NPI 1043472293 · NPPES record last updated Mar 10, 2017
Key facts
- NPI
- 1043472293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 52456 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- Fax
- (218) 732-2874
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Joseph'S Area Health Services
Practice addresses (Care Compare)
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 732-3311
Hospital & facility affiliations
- St. Joseph'S Hospice
- St Josephs Area Health Services
- St Josephs Area Health Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110725000381 | MN | Practitioner - Internal Medicine |
9335317023 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Family Healthcare | Current |
Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| St. Joseph'S Area Health Services | Current |
Accepting new patients | |
| Unity Family Healthcare | Current |
Accepting new patients | |
| St Joseph'S Area Health Services | Current |
Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients |
Locations
3314 Solutions Ctr
Chicago, IL 60677
7892 Solutions Ctr
Chicago, IL 60677
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
4784 Amber Valley Pkwy S
Fargo, ND 58104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52456 | MN | Yes |
| Hospitalist Physician | 208M00000X | 52456 | MN |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (218) 732-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043472293 | Medicaid | MN |
Other providers in Park Rapids, MN
- Dyneen L Hafics
- Leah Hall
- Christina Halse
- Lisa A Harmon
- Rose A Haroldson
- Healthy Returns of Minnesota Inc
- Heartland Center of Natural Healing, PLLC
- Heartland Lakes Community School
- Stacia Lenore Heisler
- Rodney W Helm
All providers in Park Rapids, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.