Suzanne Kay Harris, MD
Individual provider Active NPI Family Medicine Physician · Sturgis, SD
NPI 1922023613 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1922023613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5993 (SD)
- Practice address
- 890 Lazelle St
Sturgis, SD 57785-1611 - Phone
- (605) 720-2600
- Fax
- (605) 720-2611
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Rapid City Hospital Inc
Campbell County Hospital District
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- Campbell County Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070322000057 | SD | Practitioner - Family Practice | 2668436221 | Reassigns benefits to 1 organization |
| I20080918000019 | WY | Practitioner - Family Practice | 2668436221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5993 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Family Medicine | Current | Accepting new patients |
| Rapid City Regional Hospital Inc | Current |
Accepting new patients | |
| Campbell County Hospital District | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Campbell County Hospital District | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Glasgow Clinic, Inc. | Past | Accepting new patients | |
| Bruce D Fisher DPM PC | Past | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414
2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5993 | SD | Yes |
Addresses
Primary practice location
890 Lazelle St
Sturgis, SD 57785-1611
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other providers in Sturgis, SD
- Kara Graveman
- Al Thomas Gunderson
- Gloria Gurwell
- Jason M Hafner
- Jae Hanks
- Harwood Chiropractic PC
- Kathrine Harwood
- Shirley Jean Hauge
- Jay Heeren
- H Thomas Hermann Jr.
All providers in Sturgis, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.