David M. Harris, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101036039 Issued in VA

Practice address

3 Westwood Medical Park
Bluefield, VA 24605-2000

Phone

(276) 326-2635

NPI assigned

Oct 4, 2007

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Interoperability endpoints

• Direct secure messaging: david.harris.1@14163.direct.athenahealth.com
• Direct secure messaging: harrisd@yourcarecommunity.org

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.

• Bluefield Regional Medical Center Inc

  dba Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1184890808
  NPD (past)
• Bluefield HBP Medical Group LLC

  • Anesthesiology Physician
  • Bluefield, WV
  • NPI 1750699260
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1629266549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052000",
            "telephone_number": "276-326-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052000",
            "telephone_number": "276-326-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101036039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "338096",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006541241",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101504000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Graves
• Katrina Lynn Gregory, LPTA
• David Scott Grouse, MD
• H2 Rehabilitation Services of Virginia, LLC (H2 Health)
• Jonathan R Hall, DO
• Heather Leigh Harris, P.A.- C
• Michael Paul Harris, PHARMD
• Lori Havens
• Regina L Hayes
• Tammy D Heffinger, M.ED

• Otolaryngology Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.