KEVIN C HARRIS (NPI# 1164496808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164496808 |
| Entity Type | Individual |
| Full Name | KEVIN C HARRIS |
| Credential | M.D. |
| Practice Address |
111 S 13th St Mount Vernon WA 98274-4105 |
| Mailing Address |
1400 E Kincaid St Mount Vernon WA 98274-4127 |
| Practice Telephone | 3603362178 |
| Practice Fax Number | 3603361674 |
| Mailing Telephone | 3603362178 |
| Mailing Fax Number | 3603361674 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 66209 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | MD00042133 | WA | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD00042133 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
MD00042133 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD00042133 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD00042133 | WA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD00042133 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1003912 | 05 | |
| WA | WA STATE MEDICAL LICENSE | MD00042133 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720583503 | Kevin Harris | Driver | 14 Haggis Rd, Middletown, DE 19709-8750 | 2018-03-26 |
| 1184981508 | Kevin Lee Harris | Respiratory Therapist, Registered | 2936 Collins Ave, St Augustine, FL 32084-1932 | 2012-04-23 |
| 1528394467 | Kevin Harris | Occupational Therapy Assistant | 6001 Lockwood Dr, Houston, TX 77026-1827 | 2009-10-28 |
| 1588856405 | Kevin Todd Harris | Physical Medicine & Rehabilitation | 1525 Oxford Ln, Naperville, IL 60565-1511 | 2007-08-14 |
| 1689700031 | Kevin Paul Harris | Dentist | 5015 Bluebonnet Blvd, Baton Rouge, LA 70809-3084 | 2007-02-27 |
| 1275668188 | Kevin M Harris | Dentist | 38252 N Jacqueline Dr, Suite # E, Cave Creek, AZ 85331-9553 | 2007-02-22 |
| 1366071656 | Kevin Andrew Harris | Psychologist | 2161 Nw Military Hwy Ste 207, San Antonio, TX 78213-1844 | 2020-04-07 |
| 1205464294 | Kevin Lee Harris | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-03-27 |
| 1376045427 | Kevin Harris | Acupuncturist | 1491 Denver Ave Unit 101, Loveland, CO 80538-5228 | 2018-03-05 |
| 1245769165 | Kevin Brian Harris | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-3804 | 2017-06-05 |
| Street Address |
111 S 13TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326037052 | Daniel Mark Greenwald | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2005-10-15 |
| 1215368717 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2013-12-09 |
| 1073946794 | Ashley Fedan LLC | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2013-08-16 |
| 1073864997 | Mallorie K Smith | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2012-10-02 |
| 1992937825 | Anna Jane Knisely | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2009-08-11 |
| 1104073170 | Christopher Ray England | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-08-21 |
| 1679746721 | Second Generation Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-04-09 |
| 1073782454 | Barry Simmons | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-02-29 |
| 1518141282 | Terry L. Hergesheimer | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-12-18 |
| 1477677052 | Shonie Hannah | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144541772 | Prateek Srinet | Otolaryngology | 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2408 | 2010-06-17 |
| 1992937825 | Anna Jane Knisely | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2009-08-11 |
| 1104073170 | Christopher Ray England | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-08-21 |
| 1558579839 | Christopher Howard Hetrick | Otolaryngology | 1451 Yauger, Suite 1 B, Mount Vernon, OH 43050 | 2007-05-18 |
| 1912064577 | Jonathan R Grant | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-01-02 |
| 1285650838 | Jacques Papazian M.d,s.c. | Otolaryngology | 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864-6293 | 2006-07-15 |
| 1023082203 | James R Gross | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2006-02-15 |
| 1295706752 | Gary L Brown | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2006-01-31 |
| 1437129186 | Gary K Johnson | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.