DR. CAMILLE ELIZABETH HARRIS (NPI# 1538164108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538164108 |
| Entity Type | Individual |
| Full Name | DR. CAMILLE ELIZABETH HARRIS |
| Other Name | MISS CAMILLE ELIZABETH CLARK |
| Credential | DPM |
| Practice Address |
1105 E Ustick Rd Caldwell ID 83605 |
| Mailing Address |
1105 E Ustick Rd Caldwell ID 83605-6306 |
| Practice Telephone | 2084637732 |
| Practice Fax Number | 5418894736 |
| Mailing Telephone | 2084026587 |
| Mailing Fax Number | 2084026578 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00359 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807150700 | 05 | |
| OR | RAILROAD MEDICARE | P00251554 | 01 |
| ID | RAILROAD MEDICARE | P00251554 | 01 |
| OR | TAX ID | 861141948 | 01 |
| OR | 023111 | 05 | |
| OR | MEDICARE DMERC | 4540570001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417433707 | Camille Harris | Counselor | 7457 Franklin Rd Ste 222, Bloomfield Hills, MI 48301-3612 | 2018-07-19 |
| 1376080275 | Camille Harris | Acupuncturist | 3906 Inglewood Blvd Apt 3, Los Angeles, CA 90066-4522 | 2017-01-30 |
| 1225263718 | Camille Harris | Counselor | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-5812 | 2009-05-27 |
| 1003208679 | Camille Harris | Specialist/Technologist, Other | 125 Decatur St Se, Atlanta, GA 30303-3201 | 2015-02-19 |
| 1760629174 | Camille C. Harris | Licensed Vocational Nurse | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2009-01-08 |
| Street Address |
1105 E USTICK RD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588861405 | Podiatry Services of Idaho, Pllc | Podiatrist | 1105 E Ustick Rd, Caldwell, ID 83605 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255536561 | Jonathan Haber Dpm Pa | Podiatrist | 519 Bloomfield Ave, Suite L 18, Caldwell, NJ 07006-5550 | 2007-06-18 |
| 1760475750 | Kenneth Fred Malkin | Podiatrist | 376 Bloomfield Ave, Caldwell, NJ 07006-4905 | 2005-08-25 |
| 1649563347 | P. Roman Burk Dpm PC | Podiatrist | 1818 S 10th Ave, #250, Caldwell, ID 83605-4803 | 2011-05-27 |
| 1689848038 | Eto Podiatry Clinic | Podiatrist | 112 W Logan St, Caldwell, ID 83605-4731 | 2008-04-16 |
| 1588861405 | Podiatry Services of Idaho, Pllc | Podiatrist | 1105 E Ustick Rd, Caldwell, ID 83605 | 2007-07-03 |
| 1306064258 | P. Roman Burk | Podiatrist | 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968750 | Family Foot and Ankle of Idaho, LLC | Podiatrist | 349 W Bacall Dr, Meridian, ID 83646-7391 | 2020-10-01 |
| 1740824762 | Idaho Complete Foot Care | Podiatrist | 880 Redman St, Chubbuck, ID 83202-2655 | 2019-11-01 |
| 1346883261 | Monarch Medical LLC | Podiatrist | 423 N 3rd Ave Ste 110, Sandpoint, ID 83864-1511 | 2019-10-23 |
| 1326496910 | Advanced Foot & Ankle of Magic Valley, Pllc | Podiatrist | 176 Falls Ave Ste 200, Twin Falls, ID 83301-2306 | 2016-05-25 |
| 1629223110 | Kyle R. Yorgason | Podiatrist | 1075 N Curtis Rd Ste 300, Boise, ID 83706-1348 | 2008-11-25 |
| 1609085455 | Craig D Holman Chartered | Podiatrist | 496 Shoup Ave W # B, Twin Falls, ID 83301-5043 | 2007-05-21 |
| 1669516738 | Valley Foot & Ankle, PC | Podiatrist | 1455 Bench Rd Ste B, Pocatello, ID 83201-5084 | 2007-02-20 |
| 1629111497 | Michael K. James | Podiatrist | 3345 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-14 |
| 1790864619 | Valley Foot & Ankle, PC | Podiatrist | 1455 Bench Rd, Suite B, Pocatello, ID 83201 | 2006-11-02 |
| 1629185426 | Ronald Ray Vogel | Podiatrist | 12717 N Avondale Loop, Hayden, ID 83835-7531 | 2006-08-25 |
| 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.