Active NPI
Jimmy N Harris, M.D.
- Emergency Medicine Physician
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H4383
- Practice address
- 3000 N Interstate 35
Denton, TX 76201-5119 - Phone
- (940) 898-7000
- NPI assigned
- Oct 24, 2006
- Last updated
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H4383 | TX | Primary |
Addresses
Primary practice location
3000 N Interstate 35
Denton, TX 76201-5119
Mailing address
PO Box 8549
Fort Worth, TX 76124-0549
Phone (817) 451-4208
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122040206 | Medicaid | TX | |
| 122040208 | Medicaid | TX | |
| 0035PJ | Other | TX | BLUE CROSS BLUE SHIELD |
| 8J7010 | Other | TX | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Denton Erdocs PA | Emergency Medicine | Past | Accepting new patients |
| Cowboy Capital Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
411 N Belknap St
Stephenville, TX 76401
Phone (254) 965-1500
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Emergency Medicine Physician
- Stephenville, TX
- NPI 1700839172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1831273432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8549",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761240549",
"telephone_number": "817-451-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N INTERSTATE 35",
"city": "DENTON",
"state": "TX",
"postal_code": "762015119",
"telephone_number": "940-898-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JIMMY",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H4383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122040206",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122040208",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0035PJ",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "8J7010",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.