Matthew Emmett Harris, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3030 Issued in CO

Practice address

1625 Foxtrail Dr Ste 190
Loveland, CO 80538-9089

Phone

(970) 619-6900

NPI assigned

Sep 8, 2010

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Lakewood IncGroup PAC ID 9739486374, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Urgent Care Lakewood Inc

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Lakewood, CO
  • NPI 1902263908
  Medicare reassignment Care Compare group
• Traci a. Kimball MD PC

  dba The WISH Clinic

  • Multi-Specialty Clinic/Center
  • Arvada, CO
  • NPI 1326449646
  Medicare reassignment NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Louisville, CO
  • NPI 1497227060
  Medicare reassignment NPD (past)
• Rocky Mountain Hyperbaric Institutellc

  • Clinic/Center
  • Louisville, CO
  • NPI 1609140045
  Medicare reassignment
• Urgent Care Northern Colorado

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Fort Collins, CO
  • NPI 1154025104
  Medicare reassignment
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614
  Medicare reassignment
• Wound Healing Care Specialists, P.C.

  dba Wound Healing Care Specialists Colorado

  • Surgery Physician
  • Denver, CO
  • NPI 1891522124
  Medicare reassignment
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Longmont, CO
  • NPI 1891483442
  NPD
• Traci a. Kimball MD PC

  dba The Wish Clinic

  • Durable Medical Equipment & Medical Supplies
  • Arvada, CO
  • NPI 1174305601
  NPD
• Urgent Care Lakewood Inc

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Thornton, CO
  • NPI 1104436278
  NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1417550591
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1255648598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 FOXTRAIL DR STE 190",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389089",
            "telephone_number": "970-619-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 FOXTRAIL DR STE 190",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389089",
            "telephone_number": "970-619-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MATTHEW",
        "middle_name": "EMMETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33388270",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "017155",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holley Caballes Harris
• Kaitlin Harris
• Katie Harris, MA, BCBA
• Kevin Harris
• Lance William Harris, PA-C
• Shannon L Harris, LCSW
• Lisa Jean Harrison
• Richard Crandall Harrison, DDS
• Nichole Louise Hart, C.R.N.P
• Frank A Hartley, CRNA

• Physician Assistant in Loveland, CO
• Providers in Loveland, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.