Caleb H Harris MD Facs

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23713 Issued in OK

Legal business name

CALEB H HARRIS MD FACS

Practice address

121 Patton Dr
Ponca City, OK 74601-2030

Phone

(580) 762-6676

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Caleb Harris

Title

President

Phone

(580) 762-6676

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1124290606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PATTON DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012030",
            "telephone_number": "580-762-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PATTON DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012030",
            "telephone_number": "580-762-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB H HARRIS MD FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-762-6676"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "23713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF OKLAHOMA",
            "identifier": "452193157-001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100144020B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanetta Bussell
• Darcy Dee Butler, RDN, LD
• Joy Diane Butler
• Kristopher Lee Butler
• Shelli Dawn Caldwell
• Terri Calhoun
• Christiane Camero
• Billi Campbell
• Kelly Christine Campbell, O.D.
• Cancer & Blood Care, P.C.

• Surgery Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.