Active NPI
Howard Hamilton Harris III, M.D.
- Vascular Surgery Physician
- Suffolk, VA
National Provider Identifier
1649334343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101229140
- Practice address
- 2790 Godwin Blvd
Suite 225
Suffolk, VA 23434-8151 - Phone
- (757) 539-9005
- Fax
- (757) 934-8438
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101229140 | VA | Primary |
Addresses
Primary practice location
2790 Godwin Blvd
Suite 225
Suffolk, VA 23434-8151
Mailing address
2790 Godwin Blvd
Suite 225
Suffolk, VA 23434-8151
Phone (757) 539-9005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288409 | Other | VA | BLUE CROSS BLUE SHIELD |
| 89063NT | Medicaid | NC | |
| 28788 | Other | VA | SENTARA OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101229140 | VA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialties, Inc. | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Suffolk, VA
- NPI 1730389859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1649334343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 GODWIN BLVD",
"address_2": "SUITE 225",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348151",
"telephone_number": "757-539-9005",
"fax_number": "757-934-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 GODWIN BLVD",
"address_2": "SUITE 225",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348151",
"telephone_number": "757-539-9005",
"fax_number": "757-934-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "HOWARD",
"middle_name": "HAMILTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101229140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "288409",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89063NT",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "28788",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.