KIM STACI HARRIS (NPI# 1609195783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609195783 |
| Entity Type | Individual |
| Full Name | KIM STACI HARRIS |
| Credential | M.D. |
| Practice Address |
7120 Clearvista Dr Ste 2000 Indianapolis IN 46256-1621 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176217120 |
| Practice Fax Number | 3176217119 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01074392A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P01424352 | 01 |
| IN | 201095980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707479 | Kim D Harris | Home Health Aide | 258 A Street, Suite 1, #22, Ashland, OR 97520-1947 | 2015-08-10 |
| 1225117989 | Kim Harris | Dentist | 6225 W 56th St, Suite 100, Indianapolis, IN 46254-7603 | 2006-11-03 |
| 1588156475 | Kim Harris | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2018-06-05 |
| 1548693906 | Kim Sturdivant Harris | Nurse Practitioner | 1365 Clifton Road, Suite A2112, Atlanta, GA 30322-1013 | 2013-08-20 |
| 1922381458 | Kim Ann Harris | Pharmacist | 3631 Central Ave, Hot Springs, AR 71913-6404 | 2011-09-21 |
| 1316007438 | Kim Shena Harris | Social Worker | 4615 Government St Bldg 2, Baton Rouge, LA 70806-5820 | 2006-12-11 |
| 1699859041 | Kim Lashawn Harris | Case Manager/Care Coordinator | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-9007 | 2006-10-24 |
| 1649385832 | Kim Harris | Physical Therapy Assistant | 29 N Commerce St, Ardmore, OK 73401-3903 | 2006-08-20 |
| Street Address |
7120 CLEARVISTA DR STE 2000 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326095589 | Kevin Henderzahs | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2006-05-31 |
| 1407220866 | Kristina L Dunlap | Licensed Practical Nurse | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2015-11-23 |
| 1679971253 | Rebekah N. Jensen | Social Worker | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1548 | 2014-12-12 |
| 1669884649 | Rachel Elizabeth Riley | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256 | 2014-05-27 |
| 1528314507 | Christina Humphrey | Nurse Practitioner | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2012-07-27 |
| 1356628473 | Robin E Stein | Physician Assistant | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2011-11-03 |
| 1609178722 | Ninya Mh Wilkerson | Nurse Practitioner | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2010-11-22 |
| 1154656973 | Sarah Jane Henry | Nurse Practitioner | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2009-10-13 |
| 1275793069 | Cady L Linn | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2008-06-15 |
| 1720247406 | Lisa Liman Chan-owensby | Nurse Practitioner | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2008-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417458225 | Arthur Galstian Md LLC | Obstetrics & Gynecology | 9240 N Meridian St Ste 180, Indianapolis, IN 46260-2065 | 2018-02-27 |
| 1629456017 | Elizabeth Claire Mazzone | Obstetrics & Gynecology | 1550 E County Line Rd Ste 300, Indianapolis, IN 46227 | 2015-05-18 |
| 1306231626 | Katherine Miller | Obstetrics & Gynecology | 550 N. University Blvd, Uh 2440, Dept. of Ob/gyn, Iu School of Medicine, Indianapolis, IN 46202 | 2015-04-02 |
| 1104264407 | Nabila Zambrano | Obstetrics & Gynecology | 1400 N Ritter Ave Ste 431, Indianapolis, IN 46219-3050 | 2013-06-07 |
| 1750728242 | Zenas Chang | Obstetrics & Gynecology | 535 Barnhill Dr Ste 436, Indianapolis, IN 46202-5116 | 2013-05-24 |
| 1639515620 | Patricia Walsh Rapp | Obstetrics & Gynecology | 8199 Spring Mill Rd, Indianapolis, IN 46260-2902 | 2013-05-16 |
| 1679860894 | James C Cripe | Obstetrics & Gynecology | 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250 | 2011-07-08 |
| 1265728919 | Jennifer Thompson | Obstetrics & Gynecology | 550 University Blvd Rm 2449, Indianapolis, IN 46202-5149 | 2011-06-21 |
| 1932408507 | Ashley Nicole Perkins | Obstetrics & Gynecology | 6820 Parkdale Pl Ste 212, Indianapolis, IN 46254-6600 | 2011-03-22 |
| 1821305749 | Indi-growth Group Inc | Obstetrics & Gynecology | 5351 E Thompson Rd, Ste 259, Indianapolis, IN 46237-4094 | 2010-09-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
Please comment or provide details below to improve the information on KIM STACI HARRIS.
| 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.