Robert Clark Harris, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20594 Issued in KY

Practice address

615 Old Symsonia Rd
Benton, KY 42025-5042

Phone

(270) 527-4800

Fax

(270) 527-4910

NPI assigned

Jan 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Marshall County Hospital District

  • Family Medicine Physician
  • Benton, KY
  • NPI 1689778250

  Internal Medicine, KY

  Medicare reassignment NPD
• Robert C. Harris, M.D.

  • Internal Medicine Physician
  • Murray, KY
  • NPI 1750572525

  Internal Medicine

  NPD Authorized official
• Marshall County Hospital District

  • Rural Health Clinic/Center
  • Benton, KY
  • NPI 1962873109
  NPD

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1265403265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255042",
            "telephone_number": "270-527-4800",
            "fax_number": "270-527-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBERT",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "20594",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "20594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64205941",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Alisha Hall, PTA
• Kim M Hall, MD
• Hampton Physical Therapy
• Reanna Christine Hargrove, APRN
• Jerilane Lovett Harrell, LPCC
• Sheri Dawn Harris
• James M Hawkins, M.D.
• Michael Lynn Hayes, OD
• HC Wound Management PCS
• HC Wound Management PSC

• All providers in Benton, KY
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.