Timothy P Harris, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0521008 Issued in KS

Legal business name

TIMOTHY P HARRIS, DO

Practice address

1301 W 12TH Ave
Suite 207
Emporia, KS 66801-2587

Phone

(620) 342-6161

Fax

(620) 342-0087

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Paul Harris, D.O.NPI 1093775785

Title

Owner

Phone

(620) 342-6161

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Twin Rivers Surgical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Paul Harris, D.O.

  • Surgery Physician
  • Emporia, KS
  • NPI 1093775785
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1295946135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "address_2": "SUITE 207",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-342-6161",
            "fax_number": "620-342-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "address_2": "SUITE 207",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-342-6161",
            "fax_number": "620-342-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P HARRIS, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-342-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KS",
            "license": "0521008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231930A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020015054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Rivers Surgical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lily Thompson, LPC-T
• Stephanie Louise Thompson, LPC, ATR, NCC
• Tamara Denise Thompson, DC
• Thomas Austin Thurman
• Rahel Tibebu
• Sidney Tinner
• Amy M Tolles, APRN
• Toso Family Eye Care
• Caitlin Toso, O.D.
• Total Renal Care Inc

• Surgery Physician in Emporia, KS
• Providers in Emporia, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.