Kathleen Weindorff Harris, MD

Key facts

NPI

1407050008

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

M9089 (TX)

Practice address

709 Hollybrook Dr
Suite 4500
Longview, TX 75605

Phone

(903) 757-6042

Fax

(903) 232-8260

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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.

• Associated Clinicians of East Texas Internal Medicine Physician · Longview, TX · NPI 1932640349
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · TX
• Associated Clinicians of East Texas Community/Retail Pharmacy · Longview, TX · NPI 1447451406
  NPD (past)

Hospital & facility affiliations 8

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

• Baylor University Medical Center General Acute Care Hospital · Dallas, TX · NPI 1447250253
  Care Compare affiliation Hospital
• Christus Good Shepherd Medical Center General Acute Care Hospital · Longview, TX · NPI 1124092036
  Care Compare affiliation Hospital
• East Texas PHC, LLC Home Health Agency · Longview, TX · NPI 1558564336
  Care Compare affiliation Home health agency
• Henderson Hospital, LLC General Acute Care Hospital · Henderson, TX · NPI 1326546797
  Care Compare affiliation Hospital
• Highland Park Senior Care 3, LLC Home Health Agency · Longview, TX · NPI 1336515832
  Care Compare affiliation Home health agency
• Longview Medical Center LP General Acute Care Hospital · Longview, TX · NPI 1528026267
  Care Compare affiliation Hospital
• Onesource Home Care, Inc. Home Health Agency · Longview, TX · NPI 1104147339
  Care Compare affiliation Home health agency
• Prime Care Hospice LLC Community Based Hospice Care Agency · Longview, TX · NPI 1467001628
  Care Compare affiliation Hospice

Medicare Care Compare profile

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associated Clinicians of East Texas (106 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onesource Home Care Inc Home health agency · Longview, TX · CCN 679138
• Premier Home Care Home health agency · Longview, TX · CCN 743174
• Highland Park Senior Care Home health agency · Longview, TX · CCN 459294
• Prime Care Hospice LLC Hospice · Longview, TX · CCN 741756
• Longview Regional Medical Center Hospital · Longview, TX · CCN 450702
• Christus Good Shepherd Medical Center Hospital · Longview, TX · CCN 450032
• Ut Health East Texas Henderson Hospital Hospital · Henderson, TX · CCN 450475
• Baylor University Medical Center Hospital · Dallas, TX · CCN 450021

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.harris.1@23550.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Mrs. Kathleen Michelle Weindorff Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 23, 2019.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1407050008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610363",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752610363",
            "telephone_number": "903-291-6187",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 4500",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-757-6042",
            "fax_number": "903-232-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATHLEEN",
        "middle_name": "WEINDORFF",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194166803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WEINDORFF",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Susan Elaine Harrington, SLP
• Harris Behavioral & Educational Consulting Services
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• Gregory Hays Harris, C.R.N.A.
• Jacqulyn Harris
• Lacie Harris, APRN-CNP
• Sydney Renee Harris
• Brittney Harston, RBT
• Breann McIlhenny Hart, APRN, MSN, FNP-C
• Jeffrey Blake Hart, M.D.

All providers in Longview, TX · Internal Medicine Physician in Texas