David L Harris MD LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101023906 Issued in VA

Legal business name

DAVID L HARRIS MD LTD

Practice address

95 Harris Dr
Building 3
Kilmarnock, VA 22482

Phone

(804) 435-1661

Fax

(804) 435-0117

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

David Lea Harris, OFFICE PROPRIETOR MDNPI 1003820523

Title

Office Manager Proprietor

Phone

(804) 435-1661

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lea Harris, MD

  • Urology Physician
  • Kilmarnock, VA
  • NPI 1003820523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1083784359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "address_2": "95 HARRIS DR",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821449",
            "telephone_number": "804-435-1661",
            "fax_number": "804-435-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HARRIS DR",
            "address_2": "BUILDING 3",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-1661",
            "fax_number": "804-435-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L HARRIS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OFFICE MANAGER PROPRIETOR",
        "authorized_official_telephone_number": "804-435-1661",
        "authorized_official_credential": "OFFICE PROPRIETOR MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "VA",
            "license": "0101023906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7572611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Gill Chilton, RPH
• Continental Emergency Services LLC
• Stephanie Jean Crosen
• June B Daffeh, M.D.
• Robert Damon
• Dca of Kilmarnock, LLC
• Robert Cris Dedmond, DDS
• Dental Care PC
• John Deschamps, MD
• Diana Jamison LCSW PLLC

• Urology Physician in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.