DAVID A HARRIS (NPI# 1528032547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528032547 |
| Entity Type | Individual |
| Full Name | DAVID A HARRIS |
| Credential | PA-C |
| Practice Address |
1341 Medical Park Dr Ste 201 Melbourne FL 32901 |
| Mailing Address |
1341 Medical Park Dr Ste 201 Melbourne FL 32901-3235 |
| Practice Telephone | 3217689914 |
| Practice Fax Number | 3219531893 |
| Mailing Telephone | 3217689914 |
| Mailing Fax Number | 3219531893 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102926 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292253300 | 05 | |
| FL | MEDICARE RAILROAD | P00400300 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 3217689914 | 3219531893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178927 | David Harris | Student in an Organized Health Care Education/Training Program | 328 Prospect St Unit C, Cambridge, MA 02139-1315 | 2020-09-12 |
| 1992266936 | David Harris | Non-emergency Medical Transport (VAN) | 6022 Jefferson Ave Ste 204b, Newport News, VA 23605-3000 | 2019-03-30 |
| 1497283691 | David Calvin Harris | Dentist | 6425 N Quail Hollow Rd Ste 101, Memphis, TN 38120-1438 | 2017-06-01 |
| 1306278338 | David Mardell Harris | Student in an Organized Health Care Education/Training Program | Santa Margarita Road Building H100, Camp Pendleton, CA 92055 | 2013-08-01 |
| 1992143101 | David Harris | Physical Therapist | 16 W Washington St, Quincy, FL 32351-2348 | 2013-06-10 |
| 1154607737 | David M Harris | Social Worker | 7750 Clayton Rd Ste 220, Saint Louis, MO 63117-1342 | 2011-10-27 |
| 1881993145 | David Louis Harris | Specialist | 1204 S Park St, Red Wing, MN 55066-3450 | 2011-03-24 |
| 1104066018 | David Harris | Occupational Therapist | 2794 Bellmore Ave, Bellmore, NY 11710-4312 | 2009-03-05 |
| 1992960074 | David Benjamin Harris | Hearing Instrument Specialist | 1363 E 170 S Ste 201, St George, UT 84790-3012 | 2008-07-28 |
| 1477711240 | David Warren Harris Jr. | Pharmacist | 4838 Poplar Level Rd, Louisville, KY 40213-2904 | 2008-05-29 |
| Street Address |
1341 MEDICAL PARK DR STE 201 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841710670 | Katie Lou Shouppe | Nurse Practitioner | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-06-22 |
| 1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
| 1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
| 1588745327 | Catherine Joan Yeagley | Obstetrics & Gynecology | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263873 | Kaitlin Lassen | Physician Assistant | 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 | 2016-09-21 |
| 1386815835 | Jessica L Boudreaux-milligan | Physician Assistant | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 | 2008-03-12 |
| 1013106376 | Sabrina Wu Staples | Physician Assistant | 3337 Hoofprint Dr, Melbourne, FL 32940-2304 | 2007-10-23 |
| 1023094414 | Patrick Gene Campbell | Physician Assistant | 1494 Avocado Ave, Melbourne, FL 32935-6532 | 2005-12-19 |
| 1184618233 | George David Mccullough | Physician Assistant | 1051 S Hickory St, Ste A, Melbourne, FL 32901-1962 | 2005-09-06 |
| 1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
| 1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
| 1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
| 1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
| 1538501879 | Jennifer J Odom | Physician Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2013-07-29 |
| Find all providers in MELBOURNE | ||||
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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.