Steven Wayne Harris, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2011-0036 Issued in NM

Practice address

3917 West Road #250
Los Alamos, NM 87544-5302

Phone

(505) 661-4147

Fax

(505) 661-4199

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

82.88 of 100Reported as group

Quality

73.96

Promoting interoperability

93

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1922066455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601008",
            "telephone_number": "801-822-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD #250",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875445302",
            "telephone_number": "505-661-4147",
            "fax_number": "505-661-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "53426961206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2011-0036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870281028000",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00084336",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Grow
• Susan L Grubb, D.O.M.
• Brian James Haigh, M.D.
• Michelle Harkey, LPCC, LMT
• Michelle Poole Harris, P.T.
• Marvel E. Harrison, PHD
• Hear New Mexico LLC
• Heather McCulloch, LMFT, LLC
• Robbie Bates Heckmann
• Laura Denise Heisch, DDS

• Medical Physician Assistant in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.

Verify at the official NPI Registry.