Jared Stephen Harrison, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102204483 Issued in VA

Practice address

7364 Richmond Rd
Williamsburg, VA 23188-7220

Phone

(757) 345-0011

Fax

(757) 345-0381

NPI assigned

Jul 2, 2013

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

Medicare fee-for-service enrollment

Enrolled in VA

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 Osteopathy

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1770923989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7364 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887220",
            "telephone_number": "757-345-0011",
            "fax_number": "757-345-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JARED",
        "middle_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika M. Harris, PA-C
• Erin Justice Harris, LPC, NCC
• Katy M Harris, MSN, BSN, RN
• Stacey Reid Harris, LPC
• Gina Harrison, PT
• Mikaila Erin Hartigan, PT, DPT
• Richard J Hartle, MD
• Jacob A Hartley, D.M.D
• Cynthia J Hartman, PT
• Paul Kimball Hartmann, DDS

• Family Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.