Active NPI
Riley Harms
- Surgical Physician Assistant
- Tampa, FL
National Provider Identifier
1649782384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 10740 Palm River Rd Ste 300
Tampa, FL 33619-4577 - Phone
- (813) 651-3300
- Fax
- (813) 651-4455
- NPI assigned
- Nov 3, 2017
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
10740 Palm River Rd Ste 300
Tampa, FL 33619-4577
Mailing address
10740 Palm River Rd Ste 300
Tampa, FL 33619-4577
Phone (813) 651-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210107000714 | CO | Practitioner - Physician Assistant | 9032479589 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1649782384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 PALM RIVER RD STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336194577",
"telephone_number": "813-651-3300",
"fax_number": "813-651-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 PALM RIVER RD STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336194577",
"telephone_number": "813-651-3300",
"fax_number": "813-651-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMS",
"first_name": "RILEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.