Active NPI
Jane K Harris D O PLC
- Family Medicine Physician
- Petoskey, MI
National Provider Identifier
1558684282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101008595
- Legal business name
- JANE K HARRIS D O PLC
- Practice address
- 424 Petoskey St
Petoskey, MI 49770-2618 - Phone
- (231) 348-8600
- Fax
- (231) 348-8601
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jane K Harris, D O
- Title
- C E O
- Phone
- (231) 348-8600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5101008595 | MI | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101008595 | MI | |
| Family Medicine Physician | 207Q00000X | 5101008595 | MI | Primary |
Addresses
Primary practice location
424 Petoskey St
Petoskey, MI 49770-2618
Mailing address
424 Petoskey St
Petoskey, MI 49770-2618
Phone (231) 348-8600
National Provider Directory
National Provider DirectoryLocations
424 Petoskey St
Petoskey, MI 49770
Phone (231) 348-8600
455 Bay St
Ste B
Petoskey, MI 49770
Phone (231) 348-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478044800000",
"number": "1558684282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 PETOSKEY ST",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702618",
"telephone_number": "231-348-8600",
"fax_number": "231-348-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 PETOSKEY ST",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702618",
"telephone_number": "231-348-8600",
"fax_number": "231-348-8601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANE K HARRIS D O PLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2016-11-02",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "C E O",
"authorized_official_telephone_number": "231-348-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D O"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MI",
"license": "5101008595",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101008595",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "5101008595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.