DR. LISA YVETTE HARRIS (NPI# 1538134770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538134770 |
| Entity Type | Individual |
| Full Name | DR. LISA YVETTE HARRIS |
| Credential | MD |
| Practice Address |
415 E Main St Endicott NY 13760-4925 |
| Mailing Address |
169 Riverside Dr Administration Binghamton NY 13905-4246 |
| Practice Telephone | 6077852460 |
| Practice Fax Number | 6077852584 |
| Mailing Telephone | 6077985643 |
| Mailing Fax Number | 6077987681 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2014-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 204496 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 204496 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EXCELLUS BCBS COMMERCIAL | P020204496 | 01 |
| NY | PREFERRED CARE PEDIATRICS | 1010674DL | 01 |
| NY | PEFERRED CARE ADULTS | 101674BJ | 01 |
| NY | EXCELLUS BC BS HMO | P010204496 | 01 |
| NY | AETNA | 5925757 | 01 |
| NY | HEALTH NOW | 000911856006 | 01 |
| NY | GHI | 269914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625886 | Lisa Gayle Harris | Nurse Practitioner | 601 N. Elm Street, High Point, NC 27262-4331 | 2019-05-22 |
| 1174001499 | Lisa Louise Harris | Registered Nurse | 919 Lindy Ct, Dayton, OH 45415-2130 | 2018-07-30 |
| 1629560396 | Lisa Ann Harris | Registered Nurse | 818 Jones St, Watertown, WI 53094-3924 | 2018-05-30 |
| 1245763176 | Lisa Harris | Counselor | 111 Thornfield Rd, Columbia, SC 29229-9150 | 2017-04-07 |
| 1669847927 | Lisa Harris | Counselor | 181 Sw 5th Ct, Deerfield Beach, FL 33441-4620 | 2015-12-11 |
| 1942671722 | Lisa Lyn Harris | Nurse Practitioner | 1832 Opal Ave, Lochbuie, CO 80603-7787 | 2015-10-19 |
| 1740671940 | Lisa Harris | Speech-Language Pathologist | 5207 Onyx Blvd, Billings, MT 59106-3214 | 2015-02-09 |
| 1992103337 | Lisa Harris | Developmental Therapist | 6 S Lakewood Dr, Effingham, IL 62401-1847 | 2014-12-17 |
| 1326478439 | Lisa Harris | Developmental Therapist | 230 Timberlands Dr, Louisburg, NC 27549-6450 | 2013-11-26 |
| 1518241140 | Lisa Harris | Registered Nurse | 850 Mission Sierra Ct, Apt A, Redding, CA 96003-3878 | 2011-09-30 |
| Street Address |
415 E MAIN ST |
| City | ENDICOTT |
| State | NY |
| Zip Code | 13760-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609864792 | Arvin Lindo Aranda | Family Medicine | 415 E Main St, Endicott, NY 13760-4925 | 2005-10-12 |
| 1992323224 | Allix Freer | Physician Assistant | 415 E Main St, Endicott, NY 13760-4925 | 2020-07-13 |
| 1245705110 | Theresa Kelly Murphy | Nurse Practitioner | 415 E Main St, Endicott, NY 13760-4925 | 2018-10-08 |
| 1306133954 | Misty Ondrusek | Family Medicine | 415 E Main St, Endicott, NY 13760-4925 | 2011-07-05 |
| 1750682894 | Kacy L Zelesnikar | Physician Assistant | 415 E Main St, Endicott, NY 13760-4925 | 2010-11-05 |
| 1952517542 | A. Stephen Casimir | Preventive Medicine | 415 E Main St, Endicott, NY 13760-4925 | 2007-05-14 |
| 1578621926 | Kristin Joy Isenberg | Physician Assistant | 415 E Main St, Endicott, NY 13760-4925 | 2006-12-05 |
| 1144391889 | Kristen E Robillard | Family Medicine | 415 E Main St, Endicott, NY 13760-4925 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| 1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
| 1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
| 1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
| 1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
| 1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
| 1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
| Find all providers in zip 13760 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891170684 | Subu Dubey | Internal Medicine | 55 Washington Ave # 57, Endicott, NY 13760-5346 | 2015-07-22 |
| 1053617837 | Farzana Seemab | Internal Medicine | 800 Hooper Rd, Endicott, NY 13760-1560 | 2011-01-27 |
| 1497736037 | Arjun Patel | Internal Medicine | 2352 Rt 26, Endicott, NY 13760 | 2005-11-10 |
| 1184618621 | Arjun J Patel, Md, PC | Internal Medicine | 609 E Main St, Endicott, NY 13760-5036 | 2005-09-09 |
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|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
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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.