DR. PETER WILLIAM HARRIS (NPI# 1053629592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053629592 |
| Entity Type | Individual |
| Full Name | DR. PETER WILLIAM HARRIS |
| Credential | M.D |
| Practice Address |
504 Medical Center Blvd Conroe TX 77304-2808 |
| Mailing Address |
116 David Forest Ln Conroe TX 77384-3737 |
| Practice Telephone | 9365397044 |
| Mailing Telephone | 9083341109 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Q6511 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 262428 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27005 76th Ave, Emergency Dept, New Hyde Park, NY 110401402 | 9083341109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740362235 | Peter H Harris | Chiropractor | 2000 Hwy 25b N, Suite E1, Heber Springs, AR 72543 | 2006-10-20 |
| 1275641607 | Peter Donald Harris | Emergency Medical Technician, Basic | Cmr 415 Box 4345, Apo, AE 09114 | 2006-08-27 |
| 1881633915 | Peter K Harris | Chiropractor | 2616 Philadelphia Pike, Suite B, Claymont, DE 19703-2520 | 2006-06-05 |
| 1366412959 | Peter Q. Harris | Psychiatry & Neurology | 3301 Route 66, Bldg B, Ste 106, Neptune, NJ 07753-2705 | 2006-01-25 |
| 1922005404 | Peter Edward Harris | Dentist | 106 N Park Dr, Fayetteville, GA 30214-1645 | 2005-06-30 |
| 1811510316 | Peter Harris | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-05-19 |
| 1134563109 | Peter Harris | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2013-04-22 |
| 1770753139 | Peter H. Harris | Counselor | 2021 Minor Ave E, Suite 3, Seattle, WA 98102-3513 | 2008-03-01 |
| 1316125164 | Peter C Harris | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2008-02-04 |
| 1457552952 | Peter Rustin Harris | Psychologist | 1410 17th Ave S, Nashville, TN 37212-2804 | 2007-05-30 |
| Street Address |
504 MEDICAL CENTER BLVD |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395214 | Dawna Lavina Armstrong | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2005-06-13 |
| 1699384792 | Susan Kae Wooden | Nurse Practitioner | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-07-24 |
| 1811522204 | Ashley Hudson | Anesthesiologist Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-03-06 |
| 1609421593 | Ambient Anesthesia | Anesthesiology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-08-07 |
| 1154975233 | Kristina Brown | Dietitian, Registered | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-07-28 |
| 1437617768 | Julie M Quinn | Physical Medicine & Rehabilitation | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1245798602 | Samuel Loera Diaz | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1144787136 | Leyla Aileen M Lastra | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-02-26 |
| 1619491834 | Edmund Byron Webster Iv | Physician Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-07-30 |
| 1871034488 | Montgomery Orthopedic Care Specialists Pllc | Surgery | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013251834 | Greater Houston Emergency Physicians, Pllc | Emergency Medicine | 3251 I 45 N, Conroe, TX 77304-2185 | 2012-11-16 |
| 1518978121 | Donald Clarke Frame | Emergency Medicine | 3600 Fm 1488 Rd, Suite 120-292, Conroe, TX 77384-3817 | 2006-08-10 |
| 1245264480 | Frank Lopez Colunga | Emergency Medicine | 3840 W Davis St, Conroe, TX 77304-1838 | 2006-07-11 |
| 1053383604 | John Eric Buck | Emergency Medicine | 13265 Meadow Creek Ln, Conroe, TX 77302-3484 | 2006-02-07 |
| 1568469559 | Conroe Urgent Care Clinic | Emergency Medicine | 2129 W Davis St, Ste D, Conroe, TX 77304-2050 | 2005-07-05 |
| 1477996866 | Christopher C. Crismon | Emergency Medicine | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2013-04-16 |
| 1295056752 | Shang John Sung | Emergency Medicine | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2010-06-18 |
| 1649407933 | John Albert Healy | Emergency Medicine | 704 Old Montgomery Rd, Conroe, TX 77301-2740 | 2009-06-15 |
| 1326149931 | Jogesh K Harjai | Emergency Medicine | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2006-09-26 |
| 1689698912 | Mark Filley | Emergency Medicine | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2006-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.