Active NPI
Jesse D Harris, M.D.
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1487639050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-05-4198
- Practice address
- 4845 Knightsbridge Blvd
Suite 100
Columbus, OH 43214-2463 - Phone
- (614) 538-1249
- Fax
- (614) 538-1926
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-05-4198 | OH | Primary |
Addresses
Primary practice location
4845 Knightsbridge Blvd
Suite 100
Columbus, OH 43214-2463
Mailing address
4845 Knightsbridge Blvd
Suite 100
Columbus, OH 43214-2463
Phone (614) 538-1249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0693441 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1487639050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142463",
"telephone_number": "614-538-1249",
"fax_number": "614-538-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142463",
"telephone_number": "614-538-1249",
"fax_number": "614-538-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JESSE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-05-4198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0693441",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.