NPIMap

Individual provider Active NPI

Suzanne Kay Harris, MD

  • Family Medicine Physician
  • Sturgis, SD
National Provider Identifier
1922023613
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5993 Issued in SD
Practice address
890 Lazelle St
Sturgis, SD 57785-1611
Phone
(605) 720-2600
Fax
(605) 720-2611
NPI assigned
Jul 13, 2006
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5993 SD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070322000057 SD Practitioner - Family Practice 2668436221 Reassigns benefits to 1 organization
I20080918000019 WY Practitioner - Family Practice 2668436221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5993SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Sep 25, 2017 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Mar 13, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Rapid City Regional Hospital Inc CurrentSince Mar 13, 2019 Accepting new patients
Campbell County Hospital District CurrentSince Sep 25, 2017 Accepting new patients
Bruce D Fisher DPM PC Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Glasgow Clinic, Inc. Past Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 10

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1922023613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MEDICAL STAFF SERVICES",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 LAZELLE ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851611",
            "telephone_number": "605-720-2600",
            "fax_number": "605-720-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUZANNE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "5993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

Verify at the official NPI Registry.