Justin Robert Harris, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS15448 Issued in FL

Practice address

3900 Clark Rd
Ste H1
Sarasota, FL 34233-2366

Phone

(941) 926-1600

Fax

(941) 926-1166

NPI assigned

Mar 27, 2013

Last updated

May 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

50.6 of 100Reported as group

Quality

43.33

Improvement activities

20

Cost

60.88

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sarasota Spine & Sport Chiropractic Clinic

  dba Sarasota Spine & Joint Integrated Medical

  • Sports Medicine (Internal Medicine) Physician
  • Sarasota, FL
  • NPI 1174861165

  General Practice

  Medicare reassignment NPD
• Sarasota Spine & Sport Chiropractic Clinic

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1003330838
  NPD

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1205179306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "STE H1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332366",
            "telephone_number": "941-926-1600",
            "fax_number": "941-926-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "STE H1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332366",
            "telephone_number": "941-926-1600",
            "fax_number": "941-926-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS15448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P.M. Harris, M.D.
• David R Harris, LCSW
• Debora Jean Harris
• Desjadream Harris
• Heidi Harris, FNP
• Molly A Harris
• Tanya Harris, COTA
• Bathsheba Harrison, ARNP
• Donovan Harrison
• Kelley Harrison, CPNP

• General Practice Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.

Verify at the official NPI Registry.