Active NPI
Stefan Mark Harris
- Hearing Instrument Specialist
- Clearwater, FL
National Provider Identifier
1700822525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS2598
- Practice address
- 30220 US Highway 19 N
Clearwater, FL 33761-1042 - Phone
- (727) 781-1760
- NPI assigned
- Jun 21, 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS2598 | FL | Primary |
Addresses
Primary practice location
30220 US Highway 19 N
Clearwater, FL 33761-1042
Mailing address
30220 US Highway 19 N
Clearwater, FL 33761-1042
Phone (727) 781-1760
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 |
|---|---|---|---|
| AS2598 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700822525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30220 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611042",
"telephone_number": "727-781-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30220 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611042",
"telephone_number": "727-781-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "STEFAN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS2598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.