Scott Sidney Harris, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

28934 Issued in MN

Practice address

301 N Broadway
Pelican Rapids, MN 56572-4113

Phone

(218) 863-2000

Fax

(218) 847-0881

NPI assigned

May 2, 2007

Last updated

Nov 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of North Dakota School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakewood Health CenterGroup PAC ID 5698687929, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Health Center Hospital, Baudette, MN, CCN 241301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scottharris@normd.allscriptsdirect.net

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.

• Lakewood Health Center

  dba CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
  • NPI 1922072776
  Medicare reassignment NPD
• Lakewood Health Center

  dba CHI Lakewood Health

  • Clinic/Center
  • Baudette, MN
  • NPI 1972799237
  Medicare reassignment NPD
• St Joseph's Hospital and Health Center

  dba CHI St Alexius Health Dickinson Medical Clinic

  • Clinic/Center
  • Dickinson, ND
  • NPI 1730464108
  Medicare reassignment NPD
• St. Joseph's Hospital and Health Center

  dba CHI St. Alexius Health Beach Family Clinic

  • Rural Health Clinic/Center
  • Beach, ND
  • NPI 1669491262
  NPD
• St. Joseph's Hospital and Health Center

  dba CHI St Alexius Health Dickinson

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  NPD
• Lakewood Health Center

  dba LakeWood Health Center ARC

  • Assisted Living Facility
  • Baudette, MN
  • NPI 1548524648
  NPD (past)
• Coal Country Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Beulah, ND
  • NPI 1942288329
  NPD (past)
• Sanford Clinic North

  dba Sanford Health Oakes Clinic

  • Family Medicine Physician
  • Oakes, ND
  • NPI 1366416737
  NPD (past)
• Sanford Clinic North

  dba Sanford Health Gwinner Clinic

  • Rural Health Clinic/Center
  • Gwinner, ND
  • NPI 1780690305
  NPD (past)
• Sanford Medical Center Fargo

  dba Sanford Health Forman Clinic

  • Rural Health Clinic/Center
  • Forman, ND
  • NPI 1073520003
  NPD (past)
• Southeast Medical Center PC

  • Community Health Clinic/Center
  • Lisbon, ND
  • NPI 1124034509
  NPD (past)

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

• Lakewood Health Center

  dba CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
  • NPI 1922072776
  Care Compare affiliation

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1740402858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 WASHINGTON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013409",
            "telephone_number": "218-863-2000",
            "fax_number": "218-847-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BROADWAY",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565724113",
            "telephone_number": "218-863-2000",
            "fax_number": "218-847-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SCOTT",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "5107",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ND",
            "license": "5107",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "28934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14688",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15107",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740402858",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00806459",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8850",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "15107",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Beatrice Ditch, DDS
• Abdirashid Bixi Dool
• Jennifer Field, PHARMD RPH
• Rosalinda Gonzalez
• David Wayne Gottenborg, D.C.
• Craig Haugrud
• Robert Hendrickson, OT
• Raina Heruth
• Amanda Carol Houghtaling, FNP
• Hovland Healthcare Products, LLC

• General Practice Physician in Pelican Rapids, MN
• Providers in Pelican Rapids, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.