Active NPI
Jeffrey Lynn Harris, D.O.
- Cardiovascular Disease Physician
- Lapeer, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 5105007337
- Practice address
- 1031 Suncrest Dr
Lapeer, MI 48446-1136 - Phone
- (810) 664-4870
- Fax
- (810) 664-0921
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5105007337 | MI | Primary |
Addresses
Primary practice location
1031 Suncrest Dr
Lapeer, MI 48446-1136
Mailing address
1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 664-4870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4909952 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 664-4870
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5105007337 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Consultants of East Michigan PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2222 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-0790
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
2222 S Linden Rd
Flint, MI 48532
Phone (810) 230-8800
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1031 Suncrest Dr
Lapeer, MI 48446
Phone (810) 664-4870
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIABCD
- jharris1131477@direct.hfhs.org
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Flint, MI
- NPI 1285670299
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspire Medical Center-Marlette
- General Practice Physician
- Marlette, MI
- NPI 1043911449
Hospital
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
dba Aspire Angle Street Clinic
- Family Medicine Physician
- Marlette, MI
- NPI 1730988999
Hospital
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1649267634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 SUNCREST DR",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461136",
"telephone_number": "810-664-4870",
"fax_number": "810-664-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 SUNCREST DR",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461136",
"telephone_number": "810-664-4870",
"fax_number": "810-664-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5105007337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4909952",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.