FREDERICK BERNARD HARRIS (NPI# 1881716827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881716827 |
| Entity Type | Individual |
| Full Name | FREDERICK BERNARD HARRIS |
| Credential | MD |
| Practice Address |
1000 W 140th St Unit 201 Burnsville MN 55337 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 9528083000 |
| Practice Fax Number | 9528083001 |
| Mailing Telephone | 7635207870 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 49533 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 105200793 | 05 | |
| WI | 34904900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 E 3rd St, Duluth, MN 558051951 | 2187863600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151127 | Frederick R Harris | Optometrist | 1941 Huntington Dr, Suite F, South Pasadena, CA 91030-4967 | 2006-02-02 |
| 1093245961 | Frederick Harris | Counselor | 49 Kessel Ct, Madison, WI 53711 | 2017-06-14 |
| 1447478755 | Frederick R Harris Jr. | Internal Medicine | 2020 Exeter Rd, Germantown, TN 38138-3945 | 2007-04-23 |
| 1447313176 | Frederick Baird Harris | Preventive Medicine | Usameddac Wuerzburg, 12th Combat Aviation Brigade, Apo, AE 09250 | 2006-12-17 |
| 1124034657 | Frederick D. Harris Jr. | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-08-01 |
| 1831147859 | Frederick D Harris | Internal Medicine | 5 Severance Cir, Suite 505, Cleveland Heights, OH 44118-1566 | 2006-05-04 |
| Street Address |
1000 W 140TH ST UNIT 201 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437879 | Kelly L Dziedzic | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2006-02-21 |
| 1487116547 | Augustus Owusu Sarpong | Specialist/Technologist, Other | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2019-04-05 |
| 1093299729 | Janna Mariah Neher | Physical Therapist | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2018-09-19 |
| 1326532235 | Nathan Joseph Marcus | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337 | 2018-06-15 |
| 1104314822 | Patrick Roiger | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2018-04-27 |
| 1023517844 | Aaron John Klatt | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2018-02-07 |
| 1174043012 | Alexander Niznik | Physical Therapist | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2017-06-21 |
| 1598139388 | Mitchell David Peterka | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2015-11-17 |
| 1922482769 | Heidi Marie Harms | Nurse Practitioner | 1000 W 140th St Unit 201, Burnsville, MN 55337 | 2015-07-10 |
| 1518308956 | Jonathan Michael Hauff | Physical Therapist | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2013-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659301992 | Sunny S. Kim, Md Pa | Neurological Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770999716 | Gigante Acquisitions LLC | Neurological Surgery | 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 | 2014-07-10 |
| 1962723403 | Richard C. Siebert | Neurological Surgery | 1901 Red Oak Dr Sw, Brainerd, MN 56401-2050 | 2010-06-18 |
| 1912136284 | Ann M Parr | Neurological Surgery | 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 | 2009-07-08 |
| 1932303526 | Hamid Reza Abbasi | Neurological Surgery | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2007-06-14 |
| 1629289939 | Andrew Grande | Neurological Surgery | 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 | 2007-05-25 |
| 1255452926 | Meysam A Kebriaei | Neurological Surgery | 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 | 2007-04-02 |
| 1013084615 | Lynn M Miller | Neurological Surgery | 6 Red Forest Ln, North Oaks, MN 55127-6352 | 2006-11-29 |
| 1871695098 | Cornelius Hoktsim Lam | Neurological Surgery | 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 | 2006-09-01 |
| 1124044334 | Zhiyi Sha | Neurological Surgery | 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 | 2006-07-14 |
| 1619914207 | Allina Health System | Neurological Surgery | 310 Smith Ave N Ste 400, St Paul, MN 55102-2378 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.