Active NPI
Thomas Edward Harrison, DPM
- Foot & Ankle Surgery Podiatrist
- Erie, PA
National Provider Identifier
1699755124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC002261L
- Practice address
- 1326 Peninsula Dr
Erie, PA 16505-4235 - Phone
- (814) 835-3338
- Fax
- (814) 835-3668
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC002261L | PA | Primary |
Addresses
Primary practice location
1326 Peninsula Dr
Erie, PA 16505-4235
Mailing address
1326 Peninsula Dr
Erie, PA 16505-4235
Phone (814) 835-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000863040 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002261L | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Ten Podiatry Centre, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Erie, PA
- NPI 1871564492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1699755124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 PENINSULA DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165054235",
"telephone_number": "814-835-3338",
"fax_number": "814-835-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 PENINSULA DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165054235",
"telephone_number": "814-835-3338",
"fax_number": "814-835-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC002261L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000863040",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.