Dr Gerald B Harris II LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4027 Issued in AZ

Legal business name

DR GERALD B HARRIS II LLC

Practice address

10615 W. Thunderbird
Ste. B-200
Sun City, AZ 85351-3055

Phone

(623) 977-0700

Fax

(623) 977-2315

NPI assigned

May 16, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Barnes Harris II, D.O.

Title

Owner

Phone

(623) 977-0700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1750598108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 W CAMBRIDGE AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235905",
            "telephone_number": "623-977-0700",
            "fax_number": "623-977-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W. THUNDERBIRD",
            "address_2": "STE. B-200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513055",
            "telephone_number": "623-977-0700",
            "fax_number": "623-977-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GERALD B HARRIS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-977-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961252",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.