John B Harris MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

JOHN B HARRIS MD PA

Doing business as

Florida Skin Cancer Center

Practice address

151 Sawgrass Corners Dr Ste 102
Ponte Vedra Beach, FL 32082-3554

Phone

(904) 274-1834

NPI assigned

Jul 26, 2006

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Harris, MDNPI 1609899178

Title

Owner

Phone

(904) 274-1834

Specialties & licenses 1

Addresses

Other names 1

• FLORIDA SKIN CANCER CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John B Harris, MD

  • Plastic and Reconstructive Surgery Physician
  • Ponte Vedra Beach, FL
  • NPI 1609899178

  Specialist

  Medicare reassignment NPD Authorized official
• Mark A Cappel, MD

  • Dermatology Physician
  • Ponte Vedra Beach, FL
  • NPI 1780668657
  NPD
• Jennifer Berry Matthesen, MD

  • Plastic Surgery Physician
  • Ponte Vedra, FL
  • NPI 1174931463
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1679596985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320040790",
            "telephone_number": "904-274-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR STE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823554",
            "telephone_number": "904-274-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B HARRIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-274-1834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA SKIN CANCER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Marie Jacoby, LMHC
• Farha Mohamed Haji Jamaldin
• Janice Wachtel, PHD, LLC
• Jba South LLC (Scoliosisptjax)
• Jessica Carter O'Brien
• Stephanie Kate Johns, MSN, APRN-BC
• Philip E Johnson, BS
• Kevin C Jones, M.D.
• Morgan Linder Jones, DC
• Connie Ann Jongewaard, MSN, ARNP, FNP-BC

• Plastic Surgery Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.