Individual provider Active NPI

John Harris

  • Physician Assistant
  • Helena, MT
National Provider Identifier
1336798578
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
91190 Issued in MT
Practice address
1930 9TH Ave
Helena, MT 59601-4759
Phone
(406) 457-0000
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 91190 MT Primary

Addresses

Primary practice location

1930 9TH Ave
Helena, MT 59601-4759

Mailing address

1815 Silver St
Helena, MT 59601-4762
Phone (206) 225-7622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201224000148 MT Practitioner - Physician Assistant 4385602457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pureview Health CenterGroup PAC ID 3678487394, 22 clinicians

Practice addresses (Care Compare)

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Hospital & facility affiliations

  • Benefis Community Care Inc Home health agency, Great Falls, MT, CCN 277090
  • St Peters Health Hospital, Helena, MT, CCN 270003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91190MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center CurrentSince Dec 7, 2020 Accepting new patients
Pureview Health Center CurrentSince Dec 7, 2020 Accepting new patients

Locations

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522

Organizations & group practices 2

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 5

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1336798578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SILVER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014762",
            "telephone_number": "206-225-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "91190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.