Angela L Harris, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301058258 Issued in MI

Practice address

2950 W Outer Dr
Detroit, MI 48221-1750

Phone

(313) 586-7400

Fax

(313) 221-9124

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1093918138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21893",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482210893",
            "telephone_number": "313-586-7400",
            "fax_number": "313-221-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211750",
            "telephone_number": "313-586-7400",
            "fax_number": "313-221-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0808234291",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah D Harris-Swan, L.M.S.W.
• Karisa Harris-Turner, MSW
• Allen Harris
• Amber S Harris
• Angela Harris
• Angela Michele Harris
• Ariel Harris
• Ashleigh Nicole Harris, MSW
• Barbara Harris, S.W.
• Brenda Marron Harris, LBSW

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.