Active NPI
Norman R Harris II, M.D.
- Plastic and Reconstructive Surgery Physician
- Roanoke, VA
National Provider Identifier
1174549935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 0101221336
- Practice address
- 5115 Bernard Dr
Suite 303
Roanoke, VA 24018-4357 - Phone
- (540) 776-6979
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0101221336 | VA | Primary |
Addresses
Primary practice location
5115 Bernard Dr
Suite 303
Roanoke, VA 24018-4357
Mailing address
5115 Bernard Dr
Suite 303
Roanoke, VA 24018-4357
Phone (540) 776-6979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6901573 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101112000557 | VA | Practitioner - Plastic and Reconstructive Surgery | 4284829417 | Practice locations: Roanoke, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5115 Bernard Dr
Roanoke, VA 24018-4367
Phone (540) 776-6979
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174549935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 BERNARD DR",
"address_2": "SUITE 303",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184357",
"telephone_number": "540-776-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 BERNARD DR",
"address_2": "SUITE 303",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184357",
"telephone_number": "540-776-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "NORMAN",
"middle_name": "R",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "VA",
"license": "0101221336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6901573",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.