TRAVIS LEE HARRIS


Address: 500 W. Broadway, Suite 320, St. Patrick Hospital, Missoula, MT 59802-4008
Phone: 4063295615

TRAVIS LEE HARRIS (NPI# 1598965097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598965097
Entity Type Individual
Full Name TRAVIS LEE HARRIS
Credential P.A.
Practice Address 500 W. Broadway, Suite 320
St. Patrick Hospital
Missoula
MT 59802-4008
Mailing Address Po Box 12
Liberty Lake
WA 99019-0012
Practice Telephone 4063295615
Mailing Telephone 4065437271
Enumeration Date 2007-07-23
Last Update Date 2016-02-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
19246 MT Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
C03516 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers TRAVIS HARRIS

NPI Name Taxonomy Address Enumeration
1245764257 Travis Wesley Harris General Practice 301 Governors Dr Sw, Huntsville, AL 35801-5123 2017-04-17
1689120172 Travis Harris Counselor 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 2016-08-25
1760741185 Travis H Harris Radiology 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 2012-05-04
1326081696 Travis M. Harris Emergency Medicine 300 Hospital Dr, Vallejo, CA 94589-2574 2006-06-14

Office Location

Street Address 500 W. BROADWAY, SUITE 320
ST. PATRICK HOSPITAL
City MISSOULA
State MT
Zip Code 59802-4008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945921 Montana Endoscopy Center, Pllc Clinic/Center 1930 W Broadway, Ste B, Missoula, MT 59802 2020-06-08
1194364091 Tommie Lynn Perusich Nurse Practitioner 1120 Cedar St., Missoula, MT 59802 2019-12-26
1386122752 The Hope Health Alliance, Inc. Case Management 314 White House Ln, Missoula, MT 59802 2018-07-30
1881181444 Carol Anne Lesser Massage Therapist 1918 Birch St, Missoula, MT 59802 2018-04-19
1528587581 Missoula Aids Fund, Inc. Clinic/Center 1500 W. Broadway Suite A, Missoula, MT 59802 2017-09-11
1942740667 Gabrielle Shulman Counselor 415 N Higgins Ave Ste 14, Missoula, MT 59802 2017-02-28
1053798736 Endurance Physio Clinic/Center 214 E. Main St, Missoula, MT 59802 2015-05-01
1720481971 Anna Golding Counselor 1325 Wyoming Street, Missoula, MONTANA 59802 2014-10-02
1003255803 Jennifer Dawn Danielson Speech-Language Pathologist 2408 Duncan Drive, Missoula, MT 59802 2013-06-14
1437595725 Partnership Health Center Inc Clinic/Center 1150 Sherwood St, Missoula, MT 59802 2013-05-14
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437541471 Stephen Andrew Shepro Physician Assistant 2740 South Ave W Ste 101, Missoula, MT 59804-5137 2015-02-27
1427312438 Jesse Jeffrey Doll Physician Assistant 2360 Mullan Rd, Ste C, Missoula, MT 59808-1811 2012-06-25
1790754463 Jerry J King Physician Assistant 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 2006-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457576407 Rosalee Shorter Physician Assistant 341 Montana Hwy 135, Saint Regis, MT 59866-0176 2007-04-16
1245341874 Tracy Edward Rogers Physician Assistant 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 2006-08-31
1881604668 Harley G Morrell Physician Assistant 2877 Overland Ave Ste C, Billings, MT 59102-7465 2006-08-08
1487644597 Timothy J Devries Physician Assistant 111 Sunnyview Ln, Kalispell, MT 59901-3164 2005-10-28
1447802178 Reid Merrill Gage Physician Assistant 801 N 29th St, Billings, MT 59101-0905 2019-07-12
1083192025 Tyson Vanderby Physician Assistant 2675 Central Ave, Billings, MT 59102-6686 2018-08-01
1205384690 Christine Moen Physician Assistant 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 2016-09-14
1174973564 Jacob Wheeler Physician Assistant 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 2016-06-15
1427414440 Kara Haskell Physician Assistant 1450 Ellis St, #201, Bozeman, MT 59715 2016-01-06
1346642667 Jennifer Vollmer Physician Assistant 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 2014-09-17
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Competitor

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City MISSOULA
Zip Code 59802

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Dataset Information

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.

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