Active NPI
Michael W Harris, MD
- Legal Medicine
- Kingston, PA
National Provider Identifier
1174590079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MD022597E
- Practice address
- 425 Tioga Ave
Kingston, PA 18704-5624 - Phone
- (570) 288-6543
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MD022597E | PA | Primary |
Addresses
Primary practice location
425 Tioga Ave
Kingston, PA 18704-5624
Mailing address
425 Tioga Ave
Kingston, PA 18704-5624
Phone (570) 288-6543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0710598 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022597E | PA | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174590079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 TIOGA AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045624",
"telephone_number": "570-288-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 TIOGA AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045624",
"telephone_number": "570-288-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "PA",
"license": "MD022597E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0710598",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.