Active NPI
Clarissa Oliveira Harris, MD
- Family Medicine Physician
- Pompano Beach, FL
National Provider Identifier
1891732582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- FLME88074
- Practice address
- 2700 NE 14TH Street Cswy
Suite 103
Pompano Beach, FL 33062-3561 - Phone
- (954) 942-8177
- Fax
- (954) 942-1819
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FLME88074 | FL | Primary |
Addresses
Primary practice location
2700 NE 14TH Street Cswy
Suite 103
Pompano Beach, FL 33062-3561
Mailing address
2700 NE 14TH Street Cswy
Suite 103
Pompano Beach, FL 33062-3561
Phone (954) 942-8177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FLME88074 | Other | FL | MEDICAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
340 S Federal Hwy
Unit 101
Deerfield Beach, FL 33441-4132
Phone (954) 942-8177
Hospital & facility affiliations
- Holy Cross Hospital
- Boca Raton Regional Hospital
- Broward Health North
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLME88074 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Family Medicine | Current | Accepting new patients |
| Holy Cross Hospital, Inc | Current | Accepting new patients |
Locations
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
2700 NE 14th Street Cswy
Ste 103
Pompano Beach, FL 33062
Phone (954) 942-8177
2850 N Federal Hwy
Fl 2
Pompano Beach, FL 33064
Phone (954) 942-0321
Interoperability endpoints
- charris2016581@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
Family Medicine
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1891732582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 NE 14TH STREET CSWY",
"address_2": "SUITE 103",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623561",
"telephone_number": "954-942-8177",
"fax_number": "954-942-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NE 14TH STREET CSWY",
"address_2": "SUITE 103",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623561",
"telephone_number": "954-942-8177",
"fax_number": "954-942-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CLARISSA",
"middle_name": "OLIVEIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "FLME88074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "FLME88074",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.