RICHARD A HARRIS JR. (NPI# 1386004943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386004943 |
| Entity Type | Individual |
| Full Name | RICHARD A HARRIS JR. |
| Credential | PA-C |
| Practice Address |
633 Brookdale Dr Ste 300 Statesville NC 28677-3471 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7048733250 |
| Practice Fax Number | 7048732940 |
| Mailing Telephone | 7048734277 |
| Mailing Fax Number | 7049783549 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-06263 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 154 S Main St, Troutman, NC 281660200 | 7045289903 | 7045284192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578063939 | Richard Duran Harris | Non-emergency Medical Transport (VAN) | 2477 Fm 1488 Rd Apt 227, Conroe, TX 77384-4946 | 2018-02-12 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1992190524 | Richard C Harris IIi | Podiatrist | 655 W 8th St # C126, Jacksonville, FL 32209 | 2015-03-31 |
| 1841680725 | Richard Harris | General Acute Care Hospital | 2245 26th St S, St Petersburg, FL 33712-3431 | 2015-01-29 |
| 1740687805 | Richard Alan Harris | Durable Medical Equipment & Medical Supplies | 1802 Lofty Maple Trl, Kingwood, TX 77345-1938 | 2014-12-04 |
| 1285937193 | Richard Carter Harris | Pharmacist | 128 Trillium Dr, Statesville, NC 28625-4564 | 2010-12-15 |
| 1851516280 | Richard B. Harris | Dentist | 7058 Fm 1960 Rd E, Humble, TX 77346-2704 | 2007-04-13 |
| 1528119724 | Richard Howard Harris | Dentist | 5054 W Atlantic Ave, Delray Beach, FL 33484-8129 | 2007-01-15 |
| 1255417424 | Richard Yard Harris | General Practice | 381 Rampart Range Rd, Woodland Park, CO 80863-2416 | 2006-10-31 |
| 1336223593 | Richard Satianty Harris | Family Medicine | Us Hwy 9 West, Carnegie Indian Health Clinic, Carnegie, OK 73015 | 2006-10-24 |
| Street Address |
633 BROOKDALE DR STE 300 |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992745400 | Jonathan Douglas Garrett | Physician Assistant | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2006-06-07 |
| 1760091649 | Nathan Barkley | Registered Nurse | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2020-07-28 |
| 1255897815 | Jeanna Bergandine Chapman | Nurse Practitioner | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2019-02-19 |
| 1104085414 | Sherry Dawn Repass | Nurse Practitioner | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2008-06-03 |
| 1699958488 | Patricia Louise Hatfield | Nurse Practitioner | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759418 | Evelyn Virginia Stein | Physician Assistant | 3313 Lancaster Dr, Statesville, NC 28625-4633 | 2020-01-25 |
| 1790058691 | Kimberly A Lafreniere | Physician Assistant | 633 Brookdale Dive, Suite 300, Statesville, NC 28677-3403 | 2012-02-23 |
| 1124192406 | David V Keller | Physician Assistant | 1424 Fern Creek Dr Ste D, Statesville, NC 28625-9376 | 2006-11-20 |
| 1932123098 | Erica Ault Kelly | Physician Assistant | 208 Oid Mocksville Road, Statesville, NC 28625 | 2006-07-26 |
| 1053348607 | Jill Suzanne Calhoun | Physician Assistant | 738 Bryant St Ste A, Statesville, NC 28677-4189 | 2006-06-27 |
| 1992745400 | Jonathan Douglas Garrett | Physician Assistant | 633 Brookdale Dr Ste 300, Statesville, NC 28677-3471 | 2006-06-07 |
| 1881661205 | Burgo Doyle Gill IIi | Physician Assistant | 700 Sullivan Rd, Statesville, NC 28677-3440 | 2006-03-03 |
| 1720080393 | Todd Edward Kennedy | Physician Assistant | 142 Sherlock Dr, Statesville, NC 28625-1953 | 2005-08-12 |
| 1609486083 | Gergana Olszewski | Physician Assistant | 702 Hartness Rd, Statesville, NC 28677-3425 | 2020-07-31 |
| 1780214163 | Kelsey Noel Mclelland | Physician Assistant | 705 Gaither Rd, Statesville, NC 28625-3450 | 2020-01-24 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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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.