DR. WILLIAM LEE HARRIS (NPI# 1821162207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821162207 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LEE HARRIS |
| Credential | M.D. |
| Practice Address |
3100 Maccorkle Ave Se Suite 307 Charleston WV 25304-1223 |
| Practice Telephone | 3043442451 |
| Practice Fax Number | 3043461979 |
| Mailing Telephone | 3043442451 |
| Mailing Fax Number | 3043461979 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
10537 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BLUE CROSS BLUE SHILED | 001755431 | 01 |
| WV | BLUE CROSS BLUE SHIELD | 001719599 | 01 |
| WV | UNITED MINE WORKERS OF AM | 042282 | 01 |
| WV | RAILROAD MEDICARE | 406083603 | 01 |
| WV | WV PUBLIC EMPLOYEES INS A | 550569719001-WV | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538616024 | William James Harris | Military Health Care Provider | Psc Box 20117, Charles Luke Milam Clinic Bldg. Rr 440, Camp Lejeune, NC 28542-0117 | 2016-09-01 |
| 1003279951 | William Crawford Harris | Student in an Organized Health Care Education/Training Program | 1312 Robert St, New Orleans, LA 70115-2913 | 2016-03-29 |
| 1164832390 | William E. Harris | Behavioral Analyst | 7040 Caribou Ridge #102, Las Vegas, NV 89149 | 2014-04-28 |
| 1659668481 | William Harris | Counselor | 1705 N. Fm. 179, Lubbock, TX 79416 | 2011-06-30 |
| 1306153648 | William Bennett Harris | Counselor | 3111 Monroe Rd Ste 201, Suite 100, Charlotte, NC 28205-7542 | 2010-09-08 |
| 1922339514 | William Turner Harris | Specialist | 4816 Country Club Blvd, Little Rock, AR 72207-4720 | 2010-01-20 |
| 1053560698 | William David Harris Jr. | Pharmacist | Rural Route 5 Box 46, Espanola, NM 87532 | 2008-09-18 |
| 1912114513 | William Thomas Harris | Psychiatry & Neurology | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2007-05-16 |
| 1720209372 | William Goddard Harris | Family Medicine | 8 Alford Drive, Windsor, CT 06095-1629 | 2007-05-01 |
| 1083768816 | William Harris | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Sterling Rd, Jacksonville, NC 28546-8330 | 2007-01-22 |
| Street Address |
3100 MACCORKLE AVE SE SUITE 307 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312314 | Kurt M. Nellhaus, M.d. | Internal Medicine | 3100 Maccorkle Ave Se, Suite 806, Charleston, WV 25304-1223 | 2005-08-09 |
| 1124575907 | Cmc Pharmacy, LLC | Pharmacy | 3100 Maccorkle Ave Se, Suite 100, Charleston, WV 25304-1223 | 2016-09-08 |
| 1386191575 | William F. Brogan | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2016-09-06 |
| 1083161475 | Amanda L. Newcomer | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2016-09-02 |
| 1437508868 | Brandon Waskey | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 700, Charleston, WV 25304-1223 | 2016-06-07 |
| 1992177984 | Sandra Henline | Physician Assistant | 3100 Maccorkle Ave Se, Suite 411, Charleston, WV 25304-1223 | 2015-10-29 |
| 1598157430 | Wv Heart and Vascular Institute Charleston | Internal Medicine | 3100 Maccorkle Ave Se, Suite 610, Charleston, WV 25304-1223 | 2015-03-02 |
| 1922403435 | Chad L. Miller | Physician Assistant | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2014-10-27 |
| 1114321809 | Jennifer J. Hancock | Psychologist | 3100 Maccorkle Ave Se, Suite 101, Charleston, WV 25304-1223 | 2014-10-09 |
| 1720487267 | Deborah Rectenwald | Nurse Practitioner | 3100 Maccorkle Ave Se, Suite 406, Charleston, WV 25304-1223 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740394071 | Trident Medical Services D/b/a Trident Senior Health Center | Family Medicine | 9302 Medical Plaza Dr, Suite C, Charleston, SC 29406-9142 | 2006-08-17 |
| 1326048828 | John E Emmel | Family Medicine | 27 Gamecock Ave, Ste 201, Charleston, SC 29407-3398 | 2005-07-26 |
| 1235263534 | John E. Emmel, Md, PC | Family Medicine | 27 Gamecock Ave, Ste 201, Charleston, SC 29407-3398 | 2007-03-16 |
| 1467497206 | Trident Senior Health Center | Family Medicine | 2070 Northbrook Blvd, #a16, Charleston, SC 29406-9252 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316436694 | Erona Reza | Family Medicine | 6040 University Town Centre Drive, Morgantown, WV 26501-2421 | 2018-05-02 |
| 1013136464 | Mehran Khajavi | Family Medicine | 1004 Sushruta Dr Ste C, Martinsburg, WV 25401-8801 | 2007-04-24 |
| 1063515054 | Melchor F Vidal | Family Medicine | 27545 Daniel Boone Prkwy, Racine, WV 25165 | 2006-09-06 |
| 1629004221 | Collaborative Geriatrics, Inc. | Family Medicine | 414 Mahoganywood Dr, Milton, WV 25541-1181 | 2006-06-24 |
| 1568455442 | Alan L. Barnett | Family Medicine | 933 Cheat Rd, Morgantown, WV 26508-5631 | 2005-08-25 |
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1437426780 | Summersville Family Medicine Inc | Family Medicine | 211 Merchants Walk, Shopping Center, Summersville, WV 26651-1901 | 2011-11-30 |
| 1598979320 | Ambryan L White | Family Medicine | 414 Mahoganywood Dr, Milton, WV 25541-1181 | 2007-05-10 |
| 1821180530 | William C Mercer | Family Medicine | 58 16th St, 3rd Floor, Wheeling, WV 26003-3660 | 2006-09-29 |
| 1184654832 | Sivaparvati Thagirisa | Family Medicine | One Medical Center Drive, Louis A. Johnson Va Medical Center, Diagnostic Service, Clarksburg, WV 26301 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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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.