DONALD D HARRIS (NPI# 1962486738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962486738 |
| Entity Type | Individual |
| Full Name | DONALD D HARRIS |
| Credential | PA C |
| Practice Address |
17978 Sr 55 Baker WV 26801 |
| Mailing Address |
Po Box 97 Baker WV 26801-0097 |
| Practice Telephone | 3048975915 |
| Mailing Telephone | 3048975915 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01128 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MS BCBS | 001777408 | 01 |
| WV | 3810003569 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1346754322 | Donald Wayne Harris | Marriage & Family Therapist | 150 Paularino Ave Ste D-185, Costa Mesa, CA 92626-3301 | 2017-11-28 |
| 1538405212 | Donald Levertis Harris Jr. | Licensed Practical Nurse | 1801 Day Rd, Wayland, NY 14572-9572 | 2012-12-27 |
| 1356544811 | Donald Harris | Psychologist | 430 N Jefferson St Ne, Milledgeville, GA 31061-2919 | 2007-06-11 |
| 1154460442 | Donald Keith Harris | Occupational Therapy Assistant | 12219 2nd Ave, Victorville, CA 92395-5770 | 2007-02-05 |
| 1770639932 | Donald R Harris | Speech-Language Pathologist | 508 N Ruby St, Ellensburg, WA 98926-3154 | 2007-01-28 |
| 1447283262 | Donald Paul Harris | Dentist | 605 Rue De Brille, New Iberia, LA 70563-2123 | 2006-07-07 |
| 1508813858 | Donald E Harris | Psychiatry & Neurology | 1655 Gladstone Ave, Suite A, Columbus, IN 47201-5380 | 2006-05-30 |
| 1407844236 | Donald R Harris | Radiology | 4 Saint Vincent Cir, Carti- Markham & University, Little Rock, AR 72205-5402 | 2005-10-06 |
| 1306847090 | Donald E Harris | General Practice | 1320 Granville Rd, Newark, OH 43055-7500 | 2005-08-03 |
| Street Address |
17978 SR 55 |
| City | BAKER |
| State | WV |
| Zip Code | 26801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060010 | Anna N Ruddle | Social Worker | 17978 Sr 55, Baker, WV 26801-0097 | 2020-10-15 |
| 1164078465 | Caitlin Johnson | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2019-08-13 |
| 1942761853 | Elizabeth Hott | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2019-03-26 |
| 1477061059 | Johna Lyn Secrist | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2018-01-17 |
| 1386167302 | Ashton Louise Humphrey | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2017-07-21 |
| 1962850669 | Stephanie Gosnell | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2016-06-03 |
| 1609264969 | Chantell Dawn Coby | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801-0097 | 2015-01-08 |
| 1558765412 | Rebecca Nicole King | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2014-10-21 |
| 1922400274 | Bonnie Armentrout | Social Worker | 17978 Sr 55, Baker, WV 26801-0097 | 2014-09-18 |
| 1922353424 | Freddy D Conley | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2012-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152280 | Sylvia Coontz | Technician | 1789 State Rd 55, Apt 201, Baker, WV 26801 | 2020-07-27 |
| 1053891598 | E. A. Hawse Health Center, Inc. | Family Medicine | 238 Cougar Drive, Baker, WV 26801 | 2018-08-15 |
| 1508301250 | Hardy County Emergency Ambulance Authority | Ambulance | 17940 State Road 55, Baker, WV 26801 | 2017-01-04 |
| 1386975746 | E.a. Hawse Health Center, Inc | Pharmacy | 17978 State Route 55, Baker, WV 26801-0031 | 2010-01-26 |
| 1811035702 | Wendy Zolla Treadway | Counselor | 79 Grover Smith Rd, Baker, WV 26801-0058 | 2007-02-02 |
| 1518023472 | E.a. Hawse Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | Route 259, Baker, WV 26801-0070 | 2006-12-28 |
| 1295810448 | Lisa Marie Basye | Physician Assistant | 17978 State Rt. 55, Baker, WV 26801-0097 | 2006-10-26 |
| 1184686701 | Amy Teresa Phebus | Physician Assistant | 370 Harmony Springs Ln, Baker, WV 26801-8163 | 2006-04-06 |
| 1417560012 | Ashley Nicole Castell | Technician | 18 Old Baker Rd, Baker, WV 26801-8198 | 2020-08-25 |
| 1730798000 | Carolyn Milburn | Technician | 1485 Terra Alta School Rd, Baker, WV 26801-8225 | 2020-07-23 |
| Find all providers in zip 26801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
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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.