NPIMap

Individual provider Active NPI

Cody Jordan Harris, PA-C

  • Medical Physician Assistant
  • Marion, OH
National Provider Identifier
1306343512
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
970 S Prospect St
Marion, OH 43302-6225
Phone
(740) 382-9293
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OH Primary

Addresses

Primary practice location

970 S Prospect St
Marion, OH 43302-6225

Mailing address

376 Benjamin St
Delaware, OH 43015-7523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917003354 OH Practitioner - Physician Assistant 0941741003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Toledo Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parminder B. Singh M.D., Inc.Group PAC ID 4880979061, 3 clinicians

Practice addresses (Care Compare)

970 S Prospect St
Marion, OH 43302-6225
Phone (740) 382-9293

Hospital & facility affiliations

  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329
  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Dec 30, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

Interoperability endpoints

  • Direct secure messaging: cody.harris.1@32552.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1306343512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 BENJAMIN ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S PROSPECT ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026225",
            "telephone_number": "740-382-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CODY",
        "middle_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.