Harrys Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0056531 Issued in MD

Legal business name

HARRYS PRIMARY CARE LLC

Practice address

8600 Snowden River Pkwy
Suite 301
Columbia, MD 21045-1982

Phone

(410) 312-4700

Fax

(410) 312-0400

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Harry Li, M.D.NPI 1487711552

Title

Director

Phone

(410) 312-4700

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Harry's Primary Care, LLC Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry Li, M.D.

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1487711552
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1871634394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982",
            "telephone_number": "410-312-4700",
            "fax_number": "410-312-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982",
            "telephone_number": "410-312-4700",
            "fax_number": "410-312-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRYS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-312-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "129373",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "129373",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUCECROSS OF MARYLAND",
            "identifier": "KCC1HA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEP",
            "identifier": "F991",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUECHOICE",
            "identifier": "F991",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harry's Primary Care, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elton Harrison Jr.
• Kea Susan Harrison
• Robert Harrison
• Anya Carmen Harry, M.D., PH.D.
• Nalini Darshini Harry, FNP-BC
• Shantavia Marie Hart-Green
• Caroline Hart, O.D.
• John R. Hart
• Jordan Jo Hart
• Joy Hart

• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.