Individual provider Active NPI

Richard Yard Harris, MD

  • General Practice Physician
  • Woodland Park, CO
National Provider Identifier
1255417424
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18803 Issued in CO
Practice address
381 Rampart Range Rd
Woodland Park, CO 80863-2416
Phone
(719) 687-6088
Fax
(719) 687-0940
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18803 CO Primary

Addresses

Primary practice location

381 Rampart Range Rd
Woodland Park, CO 80863-2416

Mailing address

381 Rampart Range Rd
Woodland Park, CO 80863-2416
Phone (719) 687-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20101210000364 CO Practitioner - General Practice 0446447809 Practice locations: Woodland Park, CO

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Southern California Keck School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

381 Rampart Range Rd
Woodland Park, CO 80863-2416
Phone (719) 687-6088

Hospital & facility affiliations

  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1255417424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 RAMPART RANGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632416",
            "telephone_number": "719-687-6088",
            "fax_number": "719-687-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 RAMPART RANGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632416",
            "telephone_number": "719-687-6088",
            "fax_number": "719-687-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RICHARD",
        "middle_name": "YARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "18803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.