Active NPI
Omar Harris
- Driver
- Newport News, VA
National Provider Identifier
1407237480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- A61768526
- Practice address
- 9802 Hosier St Unit C
Newport News, VA 23601-4219 - Phone
- (757) 772-6300
- NPI assigned
- Jun 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | A61768526 | VA | Primary |
Addresses
Primary practice location
9802 Hosier St Unit C
Newport News, VA 23601-4219
Mailing address
26 River Pointe Dr S
Portsmouth, VA 23703-5451
Phone (305) 812-9108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61768526 | VA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timeline Cab Company LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Taxi
- Newport News, VA
- NPI 1922482777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1407237480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 RIVER POINTE DR S",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237035451",
"telephone_number": "305-812-9108",
"fax_number": "855-441-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9802 HOSIER ST UNIT C",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236014219",
"telephone_number": "757-772-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "A61768526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.