Individual provider Active NPI

Stephen Harris II, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1336540806
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05544 Issued in MD
Practice address
5100 Eastern Ave
Baltimore, MD 21224-2772
Phone
(410) 814-4500
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C05544 MD Primary

Addresses

Primary practice location

5100 Eastern Ave
Baltimore, MD 21224-2772

Mailing address

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4349

Other practice location 1

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4349

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150220001032 MD Practitioner - Physician Assistant 3476878190 Reassigns benefits to 4 organizations
I20231025002642 DC Practitioner - Physician Assistant 3476878190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

2051 W St
Annapolis, MD 21401-3006
Phone (443) 603-0758

21044 Frederick Rd
Germantown, MD 20876-4132
Phone (240) 238-5432

4924 Campbell Blvd
Suite 125
Baltimore, MD 21236-5921
Phone (443) 461-1997

5100 Eastern Ave
Bayview
Baltimore, MD 21224-2772
Phone (410) 814-4500

560 W Macphail Rd
Bel Air, MD 21014-4320
Phone (410) 638-6480

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

6333 Baltimore Nat Pike
Catonsville, MD 21228-3910
Phone (443) 514-1361

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone (443) 577-0277

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone (443) 573-0564

8830 Belair Rd
Baltimore, MD 21236-2401
Phone (410) 529-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC CurrentSince Oct 31, 2023 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 16, 2023 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2022 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Sep 10, 2023 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Oct 31, 2023 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 14, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 14, 2021 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

5100 Eastern Ave
Baltimore, MD 21224
Phone (410) 814-4500

2401 W Belvedere Ave
Baltimore, MD 21215

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: sharris938756@direct.hopkinsmedicine.org
  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1336540806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242772",
            "telephone_number": "410-814-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615803",
            "country_code": "US",
            "telephone_number": "410-787-4349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHEN",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5100 Eastern Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212242772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.