Active NPI
Donna Joan Harrison, M.D.
- Obstetrics & Gynecology Physician
- South Bend, IN
National Provider Identifier
1497146252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301406801
- Practice address
- 6301 University Commons
Suite 310
South Bend, IN 46635-1571 - Phone
- (574) 232-1471
- NPI assigned
- Feb 13, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301406801 | MI | Primary |
Addresses
Primary practice location
6301 University Commons
Suite 310
South Bend, IN 46635-1571
Mailing address
6301 University Commons
Suite 310
South Bend, IN 46635-1571
Phone (574) 232-1471
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301406801 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1497146252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 UNIVERSITY COMMONS",
"address_2": "SUITE 310",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351571",
"telephone_number": "574-232-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 UNIVERSITY COMMONS",
"address_2": "SUITE 310",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351571",
"telephone_number": "574-232-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DONNA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301406801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.