William a Harrison, MD, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

NM79174 Issued in NM

Legal business name

WILLIAM A HARRISON, MD, PC

Practice address

4705 Montgomery Blvd NE
Suite 201
Albuquerque, NM 87109-1226

Phone

(505) 888-0443

Fax

(505) 205-1057

NPI assigned

Jul 6, 2006

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Marie Lewis

Title

Office Manager

Phone

(505) 565-5512

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1518998541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "SUITE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-888-0443",
            "fax_number": "505-205-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "SUITE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-888-0443",
            "fax_number": "505-205-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A HARRISON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-565-5512"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "NM79174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "NM001175",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH PLAN PROV",
            "identifier": "843",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011841",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-PLAN PROV NUMBER",
            "identifier": "P59294675",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Willard, PT
• Anthony Willert, LD, RD
• Kerri Holen Willert, RDH
• Fehrunissa M Willett, LPCC
• Tammy Elizabeth Willey
• William C. Abbott, MD, PC
• William C. Gardner DDS PA
• William E Galbreth, DMD,PC
• William H. Fitzpatrick, DPM PC
• William McConnell MD LLC

• Gynecology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.