Active NPI
William Michael Harris, DO
- Internal Medicine Physician
- Chesapeake, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1320
- Practice address
- 11950 Maccorkle Ave
Chesapeake, WV 25315-1135 - Phone
- (304) 220-2111
- Fax
- (304) 220-2183
- NPI assigned
- Dec 30, 2005
- Last updated
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1320 | WV | |
| Internal Medicine Physician | 207R00000X | 1320 | WV | Primary |
Addresses
Primary practice location
11950 Maccorkle Ave
Chesapeake, WV 25315-1135
Mailing address
66 Dutch Ridge Rd
Clendenin, WV 25045-9528
Phone (304) 968-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11950 Maccorkle Ave
Chesapeake, WV 25315-1135
Phone (304) 220-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Healthcare Center | Current | Accepting new patients | |
| Jonathan B Murphy MD Inc | Past | Accepting new patients | |
| New Century Emergency Physician of West Virginia Inc | Emergency Medicine | Past | Accepting new patients |
| National Emergency Services West Virginia Inc | Emergency Medicine | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Locations
11950 Maccorkle Ave
Marmet, WV 25315
Phone (304) 220-2111
Organizations & group practices 6
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.
-
- Clinic/Center
- Chesapeake, WV
- NPI 1790279651
-
- Emergency Medicine Physician
- Petersburg, WV
- NPI 1528480712
-
- Emergency Medicine Physician
- Charleston, WV
- NPI 1396722641
-
dba ARH Tri-Cities Clinic Pharmacy
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
dba ARH Medical Mall Home Care Store
- Durable Medical Equipment & Medical Supplies
- Hazard, KY
- NPI 1912991803
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Thomas Memorial Hospital
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1891772802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 DUTCH RIDGE RD",
"city": "CLENDENIN",
"state": "WV",
"postal_code": "250459528",
"telephone_number": "304-968-3033",
"fax_number": "304-968-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11950 MACCORKLE AVE",
"city": "CHESAPEAKE",
"state": "WV",
"postal_code": "253151135",
"telephone_number": "304-220-2111",
"fax_number": "304-220-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "1320",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "1320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.