Ellen Harris, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011103-1 Issued in NY

Practice address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone

(708) 783-6000

NPI assigned

Jul 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Medical Metro P C

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1154376150
  NPD (past)
• Metro Emergency Medical Association PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1134159502
  NPD (past)
• St. Vincent'S Emergency Services PC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1497982904
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619998895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Henry Hanzelin, D.P.M.
• Ingrid Harb
• Avi Ravi Harisingani, MBBS
• Harlem Dental LTD.
• Elena Ruta Tijunelis Harris, LCSW
• Latanya A Harris, MSW
• Olivia Hannah Harris
• Harsh Mental Health Wellness S C
• Betsy Hart, MS,CEP,CCRP,FAACVPR
• Hasmukh V Patel MDSC

• Physician Assistant in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.