Stephen P. Harris, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

012805 Issued in LA

Practice address

804 South Acadia Road
Thibodaux, LA 70301

Phone

(985) 446-2680

Fax

(985) 447-2528

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Doctor Clinic DRS Harris & Magee a Medical Corporation

  • Family Medicine Physician
  • Thibodaux, LA
  • NPI 1366527665
  Medicare reassignment NPD
• Family Doctor Clinic DRS Harris & Magee a Medical Corporation

  • Family Medicine Physician
  • Thibodaux, LA
  • NPI 1053164061
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1720071988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SOUTH ACADIA ROAD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-2680",
            "fax_number": "985-447-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SOUTH ACADIA ROAD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-2680",
            "fax_number": "985-447-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "012805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1156531",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Harris, BA
• Douglas B. Harris, M.D.
• Jada Harris
• Julie B Harris, CRNA
• Lauren Elizabeth Harris, BS
• Christine Victoria Harrison, LPC
• Sharotta Harrison, BA
• Jasmine Harry
• Jordan Lee Hartman
• Lucas Hatch, DPT

• Family Medicine Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.