Joel J Harris, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101006452 Issued in MI

Practice address

27301 Dequindre Rd
Ste 209
Madison Heights, MI 48071

Phone

(248) 541-1500

Fax

(248) 541-2304

NPI assigned

Jan 12, 2006

Last updated

Feb 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Dermatology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Universe PLLCGroup PAC ID 1850516758, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ortelellcasphysicianuniversepllc.joelharris@143718.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Universe, PLLC

  • Specialist
  • Bloomfield Hills, MI
  • NPI 1023435856
  Medicare reassignment Care Compare group
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547

  Dermatology

  Medicare reassignment NPD
• Joel J. Harris, D. O. P. C.

  • Dermatology Physician
  • Madison Heights, MI
  • NPI 1437272036
  Authorized official Same address or phone
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Innovation Medicine, PLLC

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1720511405
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1053390591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "STE 209",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-541-1500",
            "fax_number": "248-541-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "STE 209",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-541-1500",
            "fax_number": "248-541-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101006452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H273300",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053390591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Hanson, DPT
• Rahila Nasreen Haq, NURSE PRACTITIONER
• Zulfa Jahan Haque, BEHAVIOR TECHNICIAN
• Ginetta Marie Hardy, LLPC
• Harper-Hutzel Hospital (DMC Surgery Hospital)
• Danielle Harrison, M.A,LLPC,RBT
• Devin Nicole Harvey, BEHAVIOR TECHNICIAN
• Robert T Hasbany, MD
• Curtiss Haskins, DDS
• Kristy Hassett

• Dermatology Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.