Active NPI
Wesley Leroy Harris, M.D.
- Surgery Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101263795
- Practice address
- 44045 Riverside Pkwy Ste 100
Leesburg, VA 20176-5101 - Phone
- (703) 858-8878
- Fax
- (703) 858-8170
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101263795 | VA | Primary |
| Surgery Physician | 208600000X | 2000169652 | MO | |
| Surgery Physician | 208600000X | 036114896 | IL | |
| Surgery Physician | 208600000X | 24649 | WV |
Addresses
Primary practice location
44045 Riverside Pkwy Ste 100
Leesburg, VA 20176-5101
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
203 E 4th Ave Ste C
Ranson, WV 25438-1617
Phone (304) 264-9202
Other practice location 2
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Other practice location 3
44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178
Phone (703) 858-8878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810022393 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036114896 | IL | MD | Surgery Physician |
| 2000169652 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Physicians Inc | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Surgery | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Granite City Clinic Corp | Past | Accepting new patients | |
| Mineral Area Osteopathic Hospital Inc | Past | Accepting new patients | |
| Farmington Clinic Company, LLC | Past | Accepting new patients | |
| Premier Trauma and Surgical Specialists LLC | Past | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University Healthcare Physicians, Inc. | Past | Accepting new patients |
Locations
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
44045 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8878
44055 Riverside Pkwy
Ste 238
Leesburg, VA 20176
Phone (703) 858-3070
2000 Foundation Way
Ste 2200
Martinsburg, WV 25401
Phone (304) 596-6900
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202
201 E 5th Ave
Ste 1
Ranson, WV 25438
Phone (304) 724-7200
203 E 4th Ave
Ste C
Ranson, WV 25438
Phone (304) 264-9202
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
Surgery
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba UHP Anesthesia
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
-
- Nurse Practitioner
- Leesburg, VA
- NPI 1437781523
-
dba Farmington Primary Care
- Rural Health Clinic/Center
- Farmington, MO
- NPI 1316223944
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Granite City Anesthesia
- Certified Registered Nurse Anesthetist
- Granite City, IL
- NPI 1003892464
-
- Clinical Medical Laboratory
- Granite City, IL
- NPI 1508983214
-
dba Mineral Area Regional Medical Center
- Nurse Practitioner
- Farmington, MO
- NPI 1124220637
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1982311353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1336156181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY STE 100",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-8878",
"fax_number": "703-858-8170"
}
],
"practiceLocations": [
{
"address_1": "203 E 4th Ave Ste C",
"address_purpose": "LOCATION",
"city": "Ranson",
"state": "WV",
"postal_code": "254381617",
"country_code": "US",
"telephone_number": "304-264-9202",
"fax_number": "304-264-9042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44045 Riverside Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765101",
"country_code": "US",
"telephone_number": "703-858-6000",
"fax_number": "703-858-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44055 Riverside Pkwy Ste 238",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765178",
"country_code": "US",
"telephone_number": "703-858-8878",
"fax_number": "703-858-8170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "WESLEY",
"middle_name": "LEROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101263795",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2000169652",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036114896",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "24649",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810022393",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.