Patrick J Harris D O P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-0008101 Issued in FL

Legal business name

PATRICK J HARRIS D O P A

Practice address

200 Mission Rd
Palatka, FL 32177-2618

Phone

(386) 328-2222

Fax

(386) 328-2238

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick J Harris, D.O.

Title

Owner

Phone

(386) 328-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Kennedy, A.R.N.P.

  • Primary Care Nurse Practitioner
  • Gainesville, FL
  • NPI 1609157544
  NPD (past)
• Angela Martin, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1184699316
  NPD (past)
• Ellen Talos, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1699981225
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1689769853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321780813",
            "telephone_number": "386-328-2222",
            "fax_number": "386-328-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSION RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772618",
            "telephone_number": "386-328-2222",
            "fax_number": "386-328-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J HARRIS D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-0008101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2600269-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palatka Lpoc, LLC
• Palatka Nursing and Rehab Op LLC
• Palatka Physical Therapy LLC
• Palatka SNF Operations LLC
• Kiesha Lashawn Parkinson, RN
• Larry William Pederson, R.PH., C.PH.
• Mark Peluso, LCSW
• Robert Pendrak, MD
• Peopleone Health Florida, LLC
• Richard A. Perallon, DMD

• Family Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.