NPIMap

Individual provider Active NPI

Mark Allen Harris, PA-C

  • Physician Assistant
  • Belington, WV
National Provider Identifier
1699089169
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01415 Issued in WV
Practice address
70 N Sturmer St
Belington, WV 26250-7403
Phone
(304) 823-2801
Fax
(304) 823-2703
NPI assigned
Jul 27, 2010
Last updated
May 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01415 WV Primary

Addresses

Primary practice location

70 N Sturmer St
Belington, WV 26250-7403

Mailing address

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

Other practice location 1

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000177 WV Practitioner - Physician Assistant 2062693260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01415WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Belington Community Medical Services Association Current Accepting new patients
Belington Community Medical Services Association CurrentSince Feb 1, 2016 Accepting new patients
Belington Community Medical Services Association Inc Physician Assistant Current Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Aug 22, 2012 Accepting new patients
Belington Community Medical Services Association Past Accepting new patients

Locations

70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800

116 McClellan Rd
Philippi, WV 26416
Phone (304) 457-2800

99 Horseshoe Dr
Philippi, WV 26416
Phone (304) 457-4000

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71927

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1699089169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528558",
            "telephone_number": "304-269-8000",
            "fax_number": "304-269-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N STURMER ST",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262507403",
            "telephone_number": "304-823-2801",
            "fax_number": "304-823-2703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "fax_number": "304-269-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belington, WV

Sources for this page

Verify at the official NPI Registry.