David Edison Harris

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

DAVID EDISON HARRIS

Practice address

707 Murphy Rd Ste 101
Medford, OR 97504-8520

Phone

(541) 414-0450

Fax

(541) 414-0455

NPI assigned

May 16, 2020

Organization subpart

Yes

Parent organization

DAVID EDISON HARRISAs reported in NPPES

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

Authorized official

Name

Dr. David Edison Harris, DO

Title

Owner

Phone

(541) 414-0450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Regenerative Medicine & Rehabilitation Doing business as

Part of

David Edison Harris

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589587200000",
    "number": "1225650864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 MURPHY RD STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048520",
            "telephone_number": "541-414-0450",
            "fax_number": "541-414-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MURPHY RD STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048520",
            "telephone_number": "541-414-0450",
            "fax_number": "541-414-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID EDISON HARRIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID EDISON HARRIS",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-414-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500679386",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Regenerative Medicine & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trey Austin Davenhill, PHARMD
• Brittany Danielle Davenport
• Jennifer Jane Davenport, M.D.
• David a Allen DDS
• David Chamberland MD Inc
• David M Alex DDS PC
• David M Trask MD LLC
• Melvin Cornelius Davidson
• Wendy-Jo Davidson
• Alexandria R Davis, CRM

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Medford, OR
• Providers in Medford, OR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.