Active NPI
Marcus Harris, D.O.
- Family Medicine Physician
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8628569-1204
- Practice address
- 1350 N 500 E
Logan, UT 84341-2400 - Phone
- (435) 716-1150
- Fax
- (435) 716-1151
- NPI assigned
- Jun 28, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8628569-1204 | UT | Primary |
| Family Medicine Physician | 207Q00000X | 8607A | WY |
Addresses
Primary practice location
1350 N 500 E
Logan, UT 84341-2400
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1522 E A St
Casper, WY 82601-2217
Phone (307) 234-6161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marcus.harris@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1350 N 500
Logan, UT 84341-2400
Phone (435) 716-1958
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health Logan Regional Hospital
- Nell J Redfield Memorial Hospital
- Bear River Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8628569-1204 | UT | MD | Family Medicine Physician |
| 8607A | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Oneida County Hospital | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Oneida County Hospital | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629094008
-
- Neurological Surgery Physician
- St George, UT
- NPI 1649413303
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Medicare Defined Swing Bed Hospital Unit
- Malad, ID
- NPI 1568414167
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tremonton, UT
- NPI 1679582944
-
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1336377472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 N 500 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412400",
"telephone_number": "435-716-1150",
"fax_number": "435-716-1151"
}
],
"practiceLocations": [
{
"address_1": "1522 E A St",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826012217",
"country_code": "US",
"telephone_number": "307-234-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "MARCUS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-28",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "8628569-1204",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "8607A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marcus.harris@direct.imail.org",
"affiliation": "N",
"address_1": "1350 N 500 E",
"city": "Logan",
"state": "UT",
"country_code": "US",
"postal_code": "843412400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.