Active NPI
Douglas G Harrison, MD
- Obstetrics & Gynecology Physician
- Safford, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 41204
- Practice address
- 2020 W 16TH St
Safford, AZ 85546-4026 - Phone
- (928) 424-4444
- Fax
- (928) 424-4446
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 053918 | GA | |
| Obstetrics & Gynecology Physician | 207V00000X | 41204 | AZ | Primary |
Addresses
Primary practice location
2020 W 16TH St
Safford, AZ 85546-4026
Mailing address
PO Box 2660
Thatcher, AZ 85552-2660
Phone (928) 424-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Texas Tech University Health Science Center School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000
2175 W 16TH St
Safford, AZ 85546-0011
Phone (928) 348-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41204 | AZ | MD | Obstetrics & Gynecology Physician |
| 053918 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Mt Graham Regional Medical Center Inc | Past | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Family Medicine | Past | Accepting new patients |
| Old Capital Women'S Health | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2175 W 16th St
Unit D
Safford, AZ 85546
Phone (928) 348-1600
2020 W 16th St
Safford, AZ 85546
Phone (928) 348-8208
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
2175 W 16th St
Unit E
Safford, AZ 85546
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
- Obstetrics & Gynecology Physician
- Milledgeville, GA
- NPI 1518035922
-
- Rural Health Clinic/Center
- Safford, AZ
- NPI 1346528759
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353110400000",
"number": "1720065253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2660",
"city": "THATCHER",
"state": "AZ",
"postal_code": "855522660",
"telephone_number": "928-424-4444",
"fax_number": "928-424-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W 16TH ST",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464026",
"telephone_number": "928-424-4444",
"fax_number": "928-424-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DOUGLAS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2012-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "053918",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "41204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.