Individual provider Active NPI

Steven Earl Harris II

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1609634526
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2221 Madison Ave
Toledo, OH 43604-7132
Phone
(419) 251-1313
NPI assigned
Mar 6, 2024
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2221 Madison Ave
Toledo, OH 43604-7132

Mailing address

2221 Madison Ave
Toledo, OH 43604-7132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128003929 OH Practitioner - Physician Assistant 9931687241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwood Emergency Services IncGroup PAC ID 1153225669, 34 clinicians

Practice addresses (Care Compare)

1404 E 2ND St
Defiance, OH 43512-2440
Phone (567) 368-1008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwood Emergency Services Inc. CurrentSince Oct 16, 2025 Accepting new patients

Locations

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

12621 Eckel Junction Rd
Perrysburg, OH 43551
Phone (419) 794-4760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1609634526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047132",
            "telephone_number": "419-251-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEVEN",
        "middle_name": "EARL",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.