Active NPI
Ebonie Ziarre Harris, M.D
- Obstetrics & Gynecology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301081850
- Practice address
- 29877 Telegraph Rd
Suite 304
Southfield, MI 48034-1332 - Phone
- (248) 223-9202
- Fax
- (248) 223-9302
- NPI assigned
- Apr 20, 2007
- Last updated
- Mar 18, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301081850 | MI | Primary |
Addresses
Primary practice location
29877 Telegraph Rd
Suite 304
Southfield, MI 48034-1332
Mailing address
29877 Telegraph Rd
Suite 304
Southfield, MI 48034-1332
Phone (248) 223-9202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wayne State University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Semi Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Semi Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Locations
30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600
26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
22250 Providence Dr
Ste 300
Southfield, MI 48075
Phone (248) 440-2162
22250 Providence Dr
Ste 700
Southfield, MI 48075
Phone (248) 559-5115
22255 Greenfield Rd
Ste 352
Southfield, MI 48075
Phone (248) 849-3041
29877 Telegraph Rd
Ste 210
Southfield, MI 48034
Phone (248) 223-9202
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Henry Ford Providence Hospital
- Surgery Physician
- Southfield, MI
- NPI 1942265236
Obstetrics & Gynecology
-
- Family Medicine Physician
- Warren, MI
- NPI 1942317631
Obstetrics & Gynecology
-
dba Henry Ford Providence Hospital
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
dba Henry Ford Providence Hospital
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1912962978
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Warren, MI
- NPI 1376644922
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1689891582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 304",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-223-9202",
"fax_number": "248-223-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 304",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-223-9202",
"fax_number": "248-223-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "EBONIE",
"middle_name": "ZIARRE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301081850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.