Individual provider Active NPI

Marcus Harris, M.D.

  • Interventional Pain Medicine Physician
  • New Albany, OH
National Provider Identifier
1053847541
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35145430 Issued in OH
Practice address
5031 Forest Dr Ste C
New Albany, OH 43054-7088
Phone
(614) 647-2526
Fax
(877) 409-2415
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 35145430 OH Primary

Addresses

Primary practice location

5031 Forest Dr Ste C
New Albany, OH 43054-7088

Mailing address

PO Box 738247
Dallas, TX 75373-8247
Phone (614) 647-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220613000223 OH Practitioner - Interventional Pain Management 6608124474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Zero, LLCGroup PAC ID 1850787169, 5 clinicians

Practice addresses (Care Compare)

5031 Forest Dr
Suite C
New Albany, OH 43054-7088
Phone (614) 647-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35145430OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandusky Anesthesia LLC CurrentSince Sep 30, 2022 Accepting new patients
Premier Anesthesia of Ohio LLC Interventional Pain Medicine CurrentSince Oct 1, 2023 Accepting new patients
Pain Zero, LLC Interventional Pain Medicine CurrentSince May 26, 2022 Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

4207 Gantz Rd
Grove City, OH 43123
Phone (614) 647-2526

5031 Forest Dr
Ste C
New Albany, OH 43054
Phone (614) 647-2526

450 Alkyre Run
Ste 340
Westerville, OH 43082
Phone (614) 647-2526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1053847541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738247",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753738247",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FOREST DR STE C",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547088",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARCUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35145430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.