Organization Active NPI

Scott C Harris DO PLLC

  • Interventional Cardiology Physician
  • Bowling Green, KY
National Provider Identifier
1659770733
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
03421 Issued in KY
Legal business name
SCOTT C HARRIS DO PLLC
Practice address
112 Windmere Dr
Bowling Green, KY 42103-8720
Phone
(231) 740-1887
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Scott C Harris, DO
Title
Owner/Member
Phone
(517) 899-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 03421 KY Primary

Addresses

Primary practice location

112 Windmere Dr
Bowling Green, KY 42103-8720

Mailing address

112 Windmere Dr
Bowling Green, KY 42103-8720
Phone (231) 740-1887

National Provider Directory

National Provider Directory

Locations

208 S Court St
Scottsville, KY 42164
Phone (270) 239-4000

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1659770733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WINDMERE DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038720",
            "telephone_number": "231-740-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WINDMERE DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038720",
            "telephone_number": "231-740-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C HARRIS DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "517-899-2175",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "03421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.