MR. MICHAEL ELLIOTT HARRIS (NPI# 1659510832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659510832 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ELLIOTT HARRIS |
| Credential | PA |
| Practice Address |
5175 Old Clemmons School Rd Clemmons NC 27012-9087 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Practice Fax Number | 3369402561 |
| Mailing Telephone | 3367162255 |
| Mailing Fax Number | 3369402561 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2011-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-01721 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1619236510 | Michael Harris | Rehabilitation Practitioner | 2117 Diamond Brook Ct, Las Vegas, NV 89117-1866 | 2012-05-11 |
| 1881968568 | Michael Norman Harris | Registered Nurse | 6550 South Parker Rd., 3rd Floor Float Pool Administration, Aurora, CO 80014 | 2012-02-28 |
| 1912178559 | Michael Alan Harris | Pharmacist | 320 N Chaucer Blvd, Monticello, IL 61856-2321 | 2008-03-21 |
| 1679799258 | Michael David Harris | Dentist | Interdent, 2825 West Devils Lake Rd, Lincoln City, OR 97367 | 2007-04-18 |
| 1801918115 | Michael Harris | Technician/Technologist | 745 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2007-04-06 |
| 1376664094 | Michael Ronald Harris | Counselor | 109 Roble Rd, Walnut Creek, CA 94597-7521 | 2007-04-02 |
| 1306970595 | Michael Thomas Harris | Physical Medicine & Rehabilitation | 201 S A St, Pensacola, FL 32502-5554 | 2007-03-16 |
| 1376695494 | Michael Monroe Harris | Dentist | 15311 Jennings Ln, Bowie, MD 20721-7214 | 2007-01-17 |
| 1194896621 | Michael S Harris | Dentist | 71 Silver St, Dover, NH 03820-3921 | 2006-11-13 |
| Street Address |
5175 OLD CLEMMONS SCHOOL RD |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-9087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933719 | Kelsey George | Behavior Technician | 5175 Old Clemmons School Rd, Clemmons, NC 27012-9087 | 2019-07-10 |
| 1265894612 | Elisabeth Dowlen | Pediatrics | 5175 Old Clemmons School Rd, Clemmons, NC 27012 | 2016-03-24 |
| 1366873325 | Forysth Medical Group, Inc | Internal Medicine | 5175 Old Clemmons School Rd, Clemmons, NC 27012-9087 | 2013-12-02 |
| 1689917783 | Novant Medical Group | Internal Medicine | 5175 Old Clemmons School Rd, Clemmons, NC 27012-9087 | 2013-03-27 |
| 1740554153 | Nedrea Arnice Bell | Assistant Behavior Analyst | 5175 Old Clemmons School Rd, Clemmons, NC 27012-9087 | 2012-03-02 |
| 1871800268 | Forsyth Medical Group, LLC | Pediatrics | 5175 Old Clemmons School Rd, Clemmons, NC 27012-9087 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588069066 | Matthew Green | Physician Assistant | 2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2014-10-27 |
| 1447676788 | Benjamin Keith Boles | Physician Assistant | 7210 Village Medical Cir Ste 110, Clemmons, NC 27012-8029 | 2014-03-11 |
| 1053692079 | West Forsyth Pain Management | Physician Assistant | 2554 Lewisville Clemmons Rd, Suite 211, Clemmons, NC 27012-8110 | 2011-09-03 |
| 1699841122 | Paul Green | Physician Assistant | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7463 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 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.