CHARLES F HARRIS (NPI# 1386780237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386780237 |
| Entity Type | Individual |
| Full Name | CHARLES F HARRIS |
| Credential | PA |
| Practice Address |
982 W. Broadway Jackson WY 83002 |
| Mailing Address |
Po Box 15240 Jackson WY 83002-5240 |
| Practice Telephone | 3077338002 |
| Practice Fax Number | 3077330032 |
| Mailing Telephone | 3077338002 |
| Mailing Fax Number | 3077330032 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
76 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
76 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 109651600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757665 | Charles Harris | Counselor | 27940 Tyler Ln, Canyon Country, CA 91387-2918 | 2018-10-29 |
| 1699052050 | Charles Wood Harris | Physical Therapist | 880 Canyon Creek Ln, Gardnerville, NV 89460-6426 | 2011-11-12 |
| 1497964738 | Charles Noma Harris | Psychologist | 4815 Thomas Rd, Sebastopol, CA 95472-9764 | 2007-05-22 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1841411543 | Charles Ronald Harris | Pharmacist | 3621 N Highway 231, Panama City, FL 32404-9743 | 2007-05-01 |
| 1770666562 | Charles R Harris Jr. | Dentist | 2922 George Washington Highway, Hayes, VA 23072 | 2006-10-23 |
| 1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
| 1073524005 | Charles Harris Sr. | Social Worker | 1230 Magnolia Dale Dr, Fresno, TX 77545-9680 | 2006-08-11 |
| 1326065871 | Charles Harris | Emergency Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2006-07-17 |
| 1427016534 | Charles L Harris | Ophthalmology | 836 East 65th St, Bldg 34, Savannah, GA 31405-6007 | 2006-05-01 |
| Street Address |
982 W. BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836336 | Casey Orzech | Registered Nurse | 4584 Fishing Club Drive, Jackson, WY 83002 | 2019-02-06 |
| 1093050510 | Irene Ann Nelson | Physician Assistant | 1490 Gregory Lane, Jackson, WY 83002 | 2012-12-10 |
| 1548590102 | Amy Pitman | Social Worker | 460 Cache Street, Jackson, WY 83002 | 2010-01-05 |
| 1669606943 | Canyon River Staffing | Nursing Care | 265 Blair Dr, Apt A, Jackson, WY 83002 | 2009-05-14 |
| 1477745842 | Catherine Haynes Wuthrich | Psychiatry & Neurology | 2092 Lilac Lane, Jackson, WY 83002 | 2007-08-09 |
| 1952518086 | Jennifer Agger Kandolin | Counselor | 420 South Jackson St., Jackson, WY 83002 | 2007-05-17 |
| 1992828503 | Ann M Fenn | Obstetrics & Gynecology | 62 Redmond St, Jackson, WY 83002 | 2007-04-09 |
| 1295863504 | Chad Roberts | Optometrist | 110 Buffalo Way, Ste A, Jackson, WY 83002 | 2007-02-28 |
| 1972645315 | Wyoming Eye Care Inc PC | Optometrist | 110 Buffalo Way St A, Jackson, WY 83002 | 2007-02-13 |
| 1639249550 | Laura Vignaroli | Family Medicine | 62 Redmond, Jackson, WY 83002 | 2006-11-08 |
| Find all providers in zip 83002 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629206784 | Sarah Beth Poplawski | Physician Assistant | 205 N. East Avenue, Emergency Department, Jackson, MI 49201 | 2009-06-29 |
| 1225167356 | Marianne Elizabeth Lapointe | Physician Assistant | 815 Court St Ste 7, Jackson, CA 95642-2154 | 2007-03-05 |
| 1427109149 | Coreen Dian Garcia-sweets | Physician Assistant | 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 | 2007-01-16 |
| 1861552556 | Marc A Fierro | Physician Assistant | 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 | 2006-12-11 |
| 1427146539 | James E Abernathy II | Physician Assistant | 294 Sumar Dr, Jackson, TN 38301 | 2006-10-11 |
| 1184633935 | Kelly Elizabeth Graver Pate | Physician Assistant | 9279 Locust St., Jackson, CA 95669 | 2006-08-07 |
| 1548241359 | Byron Michael Breeding | Physician Assistant | 144 Edenwood Dr, Jackson, TN 38301-3827 | 2005-11-09 |
| 1033735709 | Anna Marie Plumley | Physician Assistant | 1325 N West Ave, Jackson, MI 49202-2050 | 2020-06-18 |
| 1093347072 | Jessica Emil Ansara | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-02-07 |
| 1588134456 | Clay Ellenwood | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2018-12-04 |
| Find all providers in JACKSON | ||||
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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.