Matthew F Harris, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

372363 Issued in UT

Practice address

1400 N 500 E
Logan, UT 84341

Phone

(435) 716-1000

NPI assigned

Jul 24, 2006

Last updated

Apr 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT, WY, ID3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sterling Provider Group

  • Rural Health Clinic/Center
  • Richmond, UT
  • NPI 1164066015

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Evanston, WY
  • NPI 1164044962

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Rexburg, ID
  • NPI 1407564123

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Chubbuck, ID
  • NPI 1477200244

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Burley, ID
  • NPI 1659915593

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Hailey, ID
  • NPI 1912541863

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Idaho Falls, ID
  • NPI 1952923765

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199

  Emergency Medical Services

  Medicare reassignment NPD
• Rocky Mountain Emergency Specialists LLC

  • Emergency Medicine Physician
  • Logan, UT
  • NPI 1225078736
  Medicare reassignment NPD
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1205300407

  UT, WY

  Medicare reassignment NPD
• Bridger Valley Urgent Care, LLC

  • Emergency Medicine Physician
  • Lyman, WY
  • NPI 1952729857
  NPD
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Butte, MT
  • NPI 1871220038
  NPD
• Urgent Care Associates PLLC

  • Preferred Provider Organization
  • Idaho Falls, ID
  • NPI 1609046408
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1477575041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25535",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84125",
            "telephone_number": "866-898-7136",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N 500 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-716-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "372363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3261",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930114438",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806339700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Reyna Harper
• Darwin Don Harris, D.D.S
• Lydia Harris, CSW
• Marcus Harris, D.O.
• Mary Katherine Harris
• Paul Edward Harris, DDS
• Rebecca Ann Harris
• Scott Harris
• Shanea Dawn L Harris, LMT
• Sharon S Harris, LMFT

• Emergency Medical Services (Emergency Medicine) Physician in Logan, UT
• Providers in Logan, UT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.