DR. HOWARD HAMILTON HARRIS III (NPI# 1649334343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649334343 |
| Entity Type | Individual |
| Full Name | DR. HOWARD HAMILTON HARRIS III |
| Credential | M.D. |
| Practice Address |
2790 Godwin Blvd Suite 225 Suffolk VA 23434-8151 |
| Practice Telephone | 7575399005 |
| Practice Fax Number | 7579348438 |
| Mailing Telephone | 7575399005 |
| Mailing Fax Number | 7579349438 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101229140 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89063NT | 05 | |
| VA | SENTARA OPTIMA | 28788 | 01 |
| VA | BLUE CROSS BLUE SHIELD | 288409 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013483841 | Howard David Harris | Social Worker | 259 Park St - Apt. 2, Medford, MA 02155-2666 | 2018-10-19 |
| 1801909841 | Howard Harris | Dermatology | 5415 Park Central Ct, Blding D, Naples, FL 34109-5934 | 2006-08-16 |
| 1295226454 | Howard M Harris | Community Health Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2018-05-23 |
| 1285800920 | Howard M Harris | Internal Medicine | 9090 Park Royal Dr, Fort Myers, FL 33908-9616 | 2008-05-02 |
| 1154482917 | Howard R. Harris | Technician, Other | 300 E Main St, Suite 1000, Norfolk, VA 23510-1753 | 2006-12-13 |
| 1235246034 | Howard B Harris | Pediatrics | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-08-25 |
| 1790762615 | Howard Walker Harris | Orthopaedic Surgery | 2425 Highway 121, Bedford, TX 76021-5011 | 2005-12-30 |
| Street Address |
2790 GODWIN BLVD SUITE 225 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757835 | Benigno D Federici | Obstetrics & Gynecology | 2790 Godwin Blvd, Suite 360, Suffolk, VA 23434-8151 | 2005-08-15 |
| 1942757265 | Catherine Adickes | Registered Nurse | 2790 Godwin Blvd, Suite 305, Suffolk, VA 23434-8151 | 2016-09-02 |
| 1568918480 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd, Ste 355, Suffolk, VA 23434-8151 | 2016-08-31 |
| 1700259520 | Virginia Oncology Associates | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd, Suite 101, Suffolk, VA 23434-8151 | 2015-11-02 |
| 1629409156 | Sentara Medical Group | Otolaryngology | 2790 Godwin Blvd, Ste 205, Suffolk, VA 23434-8151 | 2013-12-10 |
| 1780013367 | Knox Audiology LLC | Audiologist | 2790 Godwin Blvd, Suite 205, Suffolk, VA 23434-8151 | 2013-11-05 |
| 1720428865 | Jason Rosenwald | Physician Assistant | 2790 Godwin Blvd, Suite 320, Suffolk, VA 23434-8151 | 2013-07-03 |
| 1093091175 | Mary Katherine Williams | Advanced Practice Midwife | 2790 Godwin Blvd, Suite 360, Suffolk, VA 23434-8153 | 2011-11-02 |
| 1609103902 | Sentara Medical Group | Internal Medicine | 2790 Godwin Blvd, Suite 225, Suffolk, VA 23434-8151 | 2009-11-06 |
| 1013150457 | Sentara Medical Group | Psychiatry & Neurology | 2790 Godwin Blvd, Suite 235, Suffolk, VA 23434-8151 | 2009-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083073464 | Sentara Medical Group | Surgery | 3920 Bridge Rd, Ste 202, Suffolk, VA 23435-1117 | 2016-02-15 |
| 1982884557 | Sentara Medical Group | Surgery | 2790 Godwin Blvd, Ste 305, Suffolk, VA 23434-8151 | 2007-11-12 |
| 1770770380 | Genesis Aesthetic Face and Vein Specialists, PC | Surgery | 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 | 2007-09-27 |
| 1730389859 | Surgical Specialties, Inc. | Surgery | 2790 Godwin Blvd, Suite 225, Suffolk, VA 23434-8151 | 2007-07-18 |
| 1598985459 | Joseph Peter Barreca Jr. | Surgery | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2007-04-25 |
| 1114925500 | Chad M Mckenzie | Surgery | 5818 Harbour View Blvd, Ste 240, Suffolk, VA 23435 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670930 | Usa Vein Clinics of Chantilly LLC | Surgery | 3914 Centreville Rd Ste 125, Chantilly, VA 20151-3289 | 2019-07-11 |
| 1285115998 | Sentara Medical Group | Surgery | 397 Little Neck Rd Ste 110, Virginia Beach, VA 23452-5774 | 2018-08-22 |
| 1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
| 1942724620 | Sentara Medical Group | Surgery | 500 Sentara Cir Ste 100, Williamsburg, VA 23188-5727 | 2017-08-03 |
| 1972980761 | Carlos Jose Torres-medina | Surgery | 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 | 2015-04-30 |
| 1306280128 | Justin Marc Milligan | Surgery | 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | 2013-04-23 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1346503463 | Mid Atlantic Vascular Holding, LLC | Surgery | 1415 Eastridge Rd, Richmond, VA 23229-5501 | 2012-06-22 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
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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.