Jo Luresa Harbour, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11041 Issued in MS

Practice address

1500 E Woodrow Wilson Ave
G.V. (Sonny) Montgomery Vamc (111-P)
Jackson, MS 39216-5116

Phone

(601) 362-4471

Fax

(601) 368-3802

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Mississippi State Hospital at Whitfield

  • Mental Illness Community Based Residential Treatment Facility
  • Jackson, MS
  • NPI 1336224179
  Medicare reassignment NPD
• Hudspeth Regional Center

  • Intellectual Disabilities Intermediate Care Facility
  • Whitfield, MS
  • NPI 1750448718
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609809771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 KEHLE RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107971",
            "telephone_number": "601-362-4471",
            "fax_number": "601-368-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "address_2": "G.V. (SONNY) MONTGOMERY VAMC (111-P)",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-362-4471",
            "fax_number": "601-368-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOUR",
        "first_name": "JO",
        "middle_name": "LURESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "11041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yathish Haralur Sreekantaiah, M.D
• Allen McNeil Haraway, M.D.
• Angie S Haraway, NP-C
• Claude Franklin Harbarger, M.D.
• Harbor Houses of Jackson, Inc.
• Kaleigh Harbour, FLIGHT RN, NRP
• Kyla Nichole Harbuck, DO
• Elizabeth Hardin, PA-C
• Gloria E Hardin, LCSW
• Josh Campbell Hardin, ATC/L

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.