Individual provider Active NPI

Elizabeth Anne Harris, PA C

  • Physician Assistant
  • Warr Acres, OK
National Provider Identifier
1457359473
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA672 Issued in OK
Practice address
7301 N Comanche Ave
Warr Acres, OK 73132-6698
Phone
(405) 271-4646
Fax
(405) 271-4242
NPI assigned
Jul 13, 2005
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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 PA672 OK Primary

Addresses

Primary practice location

7301 N Comanche Ave
Warr Acres, OK 73132-6698

Mailing address

2756 Lancaster LN
Oklahoma City, OK 73116-4417
Phone (405) 271-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20071129000723 OK Practitioner - Physician Assistant 9032208947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philip a. Floyd, M.D.,P.C.Group PAC ID 7810069259, 2 clinicians

Practice addresses (Care Compare)

2800 NW 63Rd St
Suite 900
Oklahoma City, OK 73116-4836
Phone (405) 286-5557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA672OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McBride Clinic Orthopedic Hospital, LLC Physician Assistant Past Accepting new patients
McBride Clinic Inc Physician Assistant Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1457359473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 LANCASTER LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164417",
            "telephone_number": "405-271-4646",
            "fax_number": "405-271-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N COMANCHE AVE",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731326698",
            "telephone_number": "405-271-4646",
            "fax_number": "405-271-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

Verify at the official NPI Registry.