Anthony E. Harris MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

125073 Issued in SC

Legal business name

ANTHONY E. HARRIS MD PA

Practice address

410 University Pkwy Ste 2350
Aiken, SC 29801-6836

Phone

(803) 648-7897

Fax

(803) 646-8088

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Anthony E Harris

Title

Owner

Phone

(803) 648-7897

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1629313119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2350",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016836",
            "telephone_number": "803-648-7897",
            "fax_number": "803-646-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2350",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016836",
            "telephone_number": "803-648-7897",
            "fax_number": "803-646-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY E. HARRIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-648-7897",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": "12507",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "125073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125073",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.