David F Harris, M.D.
Individual provider Active NPI Family Medicine Physician · Port Townsend, WA
NPI 1154373553 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1154373553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD00041151 (WA)
- Practice address
- 915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931 - Phone
- (360) 379-8031
- Fax
- (360) 385-0418
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Public Hospital District No 2
Practice addresses (Care Compare)
915 Sheridan St
Port Townsend, WA 98368-2931
Phone (360) 379-8031
Hospital & facility affiliations
- Jefferson Healthcare Home Health
- Jefferson Healthcare Home Health
- Jefferson Healthcare
- Olympic Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040809000160 | WA | Practitioner - Family Practice |
2860464179 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Public Hospital District No 2 | Current |
Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current |
Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Locations
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
915 Sheridan St
Port Townsend, WA 98368
Phone (360) 379-8031
934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330
915 Sheridan St
Ste B103
Port Townsend, WA 98368
Phone (360) 379-8031
1010 Sheridan St
Ste 101
Port Townsend, WA 98368
Phone (360) 379-8031
Interoperability endpoints
- dharris295055@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00041151 | WA | Yes |
Addresses
Primary practice location
915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931
Mailing address
915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931
Phone (360) 379-8031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8805361 | Other | WA | MEDICARE RHC |
| 8400681 | Medicaid | WA |
Other providers in Port Townsend, WA
- Heather Hanson
- Shannara Marie Haradon
- Greg A Hare
- Heather M Hareza
- Kaitlin Mary Harrigan
- Tracie Harris
- Patrick Hart
- Maureen Patricia Haugh
- Courtney Anne Hayes-Jorgensen
- Judson Austin Haynes
All providers in Port Townsend, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.