DR. STEPHEN RUSSELL HARRISON (NPI# 1275644361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275644361 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN RUSSELL HARRISON |
| Credential | DO |
| Practice Address |
7301 N Shadeland Ave Suite 1a Indianapolis IN 46250-2085 |
| Practice Telephone | 3175771800 |
| Practice Fax Number | 3175771805 |
| Mailing Telephone | 3175771800 |
| Mailing Fax Number | 3175771805 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02004122A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201121270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790965648 | Stephen Barre Harrison | Dentist | 1668 Williamsbridge Rd, Bronx, NY 10461-6202 | 2007-11-08 |
| 1922164912 | Stephen C Harrison | Hearing Instrument Specialist | 921 Blairs Ferry Rd Ne, Ste 110, Cedar Rapids, IA 52402 | 2006-12-28 |
| 1215034509 | Stephen Douglas Harrison | Podiatrist | 321 N Larchmont Blvd Ste 415, Los Angeles, CA 90004-6404 | 2006-09-20 |
| 1609894963 | Stephen Paul Harrison | Dentist | 781 Roza Dr, Zillah, WA 98953-9351 | 2006-07-17 |
| 1649221508 | Stephen D Harrison | Family Medicine | 1705 16th Ave, Fulton, IL 61252-9708 | 2006-05-15 |
| 1891205688 | Stephen Harrison | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2017-10-05 |
| 1518302868 | Stephen Harrison | Student in an Organized Health Care Education/Training Program | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2013-04-30 |
| 1083760094 | Stephen M Harrison | Ophthalmology | 730 E Terra Cotta Ave, Suite 2b, Crystal Lake, IL 60014-3615 | 2007-01-25 |
| 1043362080 | Stephen Jay Harrison | Emergency Medicine | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2007-01-18 |
| 1265441745 | Stephen Hopkins Harrison | Specialist | 129 E Division Rd, Oak Ridge, TN 37830-6907 | 2006-08-05 |
| Street Address |
7301 N SHADELAND AVE SUITE 1A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750495263 | Comprehensive Eye Care of Indiana PC | Ophthalmology | 7301 N Shadeland Ave, Indianapolis, IN 46250-2085 | 2006-08-19 |
| 1154707800 | Hannah Cater | Optometrist | 7301 N Shadeland Ave, Suite B, Indianapolis, IN 46250-2085 | 2015-08-05 |
| 1932422730 | Tammy Jo Hurst | Registered Nurse | 7301 N Shadeland Ave, Suite 1a, Indianapolis, IN 46250-2085 | 2010-03-08 |
| 1205967627 | Jerome David Muskat | Optometrist | 7301 N Shadeland Ave, Ste B, Indianapolis, IN 46250-2085 | 2007-03-08 |
| 1992870885 | George Elliott Mccord | Specialist | 7301 N Shadeland Ave, Indianapolis, IN 46250-2085 | 2006-11-24 |
| 1255418794 | Ossip Optometry | Optometrist | 7301 N Shadeland Ave, Suite B, Indianapolis, IN 46250-2085 | 2006-11-01 |
| 1568545838 | Anne G. Miller | Optometrist | 7301 N Shadeland Ave, Suite B, Indianapolis, IN 46250-2085 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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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.