Individual provider Active NPI

Randall E. Harris, M.D.

  • Public Health & General Preventive Medicine Physician
  • Columbus, OH
National Provider Identifier
1205262086
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
35-060940 Issued in OH
Practice address
1841 Neil Ave
306 Cunz Hall
Columbus, OH 43210-1351
Phone
(614) 292-4720
Fax
(614) 688-3533
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 35-060940 OH Primary

Addresses

Primary practice location

1841 Neil Ave
306 Cunz Hall
Columbus, OH 43210-1351

Mailing address

1841 Neil Ave
306 Cunz Hall
Columbus, OH 43210-1351
Phone (614) 292-4720

Other names 1

  • Prof. Randall E. Harris Professional name

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

LicenseStateTypeSpecialty
35-060940OHMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1205262086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 NEIL AVE",
            "address_2": "306 CUNZ HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101351",
            "telephone_number": "614-292-4720",
            "fax_number": "614-688-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 NEIL AVE",
            "address_2": "306 CUNZ HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101351",
            "telephone_number": "614-292-4720",
            "fax_number": "614-688-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RANDALL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35-060940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "HARRIS",
            "middle_name": "E.",
            "prefix": "PROF.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.