Individual provider Active NPI

John McArthur Harris III, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Boston, MA
National Provider Identifier
1497847982
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
32488 Issued in MA
Practice address
150 South Huntington Avenue (112)
Dva Boston Healthcare System
Boston, MA 02130
Phone
(617) 232-9500
Fax
(857) 364-2033
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 32488 MA Primary

Addresses

Primary practice location

150 South Huntington Avenue (112)
Dva Boston Healthcare System
Boston, MA 02130

Mailing address

150 South Huntington Avenue (112)
Dva Boston Healthcare System
Boston, MA 02130
Phone (617) 232-9500

Other identifiers 2

IdentifierTypeStateIssuer
2036675MedicaidMA
JH16610MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32488MAMDAdult Reconstructive Orthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1497847982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTH HUNTINGTON AVENUE (112)",
            "address_2": "DVA BOSTON HEALTHCARE SYSTEM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-232-9500",
            "fax_number": "857-364-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH HUNTINGTON AVENUE (112)",
            "address_2": "DVA BOSTON HEALTHCARE SYSTEM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-232-9500",
            "fax_number": "857-364-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHN",
        "middle_name": "MCARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "32488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036675",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JH16610",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.