Active NPI
James A Harrill, PA
- Physician Assistant
- Clarkston, MI
National Provider Identifier
1063510089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003964
- Practice address
- 5625 Water Tower PL
Clarkston, MI 48346-2671 - Phone
- (248) 620-4245
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003964 | MI | Primary |
Addresses
Primary practice location
5625 Water Tower PL
Clarkston, MI 48346-2671
Mailing address
5249 Reliable Pkwy
Chicago, IL 60686-0052
Phone (248) 620-4245
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003964 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Degara, PLLC | Past | Accepting new patients | |
| Oakwood Group IX, LLC | Past | Accepting new patients | |
| Personal Health Care, P.C. | Past | Accepting new patients | |
| Progressive Health Care, P.C. | Past | Accepting new patients | |
| Hometown Family Medical Centers, PLLC | Past | Accepting new patients |
Interoperability endpoints
- james.harrill.1@31854.direct.athenahealth.com
Organizations & group practices 5
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.
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- Emergency Medicine Physician
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- NPI 1457589657
-
- Rural Health Clinic/Center
- Newaygo, MI
- NPI 1114720554
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1720050917
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1750454849
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1285978528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1063510089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860052",
"telephone_number": "248-620-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 WATER TOWER PL",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462671",
"telephone_number": "248-620-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRILL",
"first_name": "JAMES",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.