Organization Active NPI

Jane K Harris D O PLC

  • Family Medicine Physician
  • Petoskey, MI
National Provider Identifier
1558684282
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008595 Issued in MI
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

Updated by the provider on Nov 2, 2016

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 5101008595 MI
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 5101008595 MI
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.