Active NPI
Harold Scott Harris, MD
- Gastroenterology Physician
- Cape Coral, FL
National Provider Identifier
1578560751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0044709
- Practice address
- 2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5781 - Phone
- (239) 772-3636
- Fax
- (239) 772-8903
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0044709 | FL | Primary |
Addresses
Primary practice location
2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5781
Mailing address
2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5781
Phone (239) 772-3636
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047741900 | Medicaid | FL | |
| 2499168 | Other | FL | GHI |
| 4091386 | Other | FL | AETNA |
| P00100202 | Other | FL | RAILROAD MEDICARE |
| 05658 | Other | FL | BCBS |
| 204675 | Other | FL | AVMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040527001136 | FL | Practitioner - Gastroenterology | 3971584889 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1578560751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 DEL PRADO BLVD S",
"address_2": "SUITE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045781",
"telephone_number": "239-772-3636",
"fax_number": "239-772-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 DEL PRADO BLVD S",
"address_2": "SUITE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045781",
"telephone_number": "239-772-3636",
"fax_number": "239-772-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "HAROLD",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0044709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047741900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2499168",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4091386",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00100202",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05658",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "204675",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.