Kelly R Harris (NPI# 1851753255, PAC ID# 2769776095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851753255 |
| PAC ID by PECOS | 2769776095 |
| Professional Enrollment ID | I20160810000741 |
| Full Name | Kelly R Harris |
| Organization Legal Name | AZ DERMATOLOGY LLC |
| Address |
4540 E Baseline Rd Suite 109 Mesa AZ 85206-4616 |
| Phone Number | 4809823337 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698850543 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4540 E Baseline Rd, Suite 109, Mesa, AZ 85206-4616 | 4809823337 | AZ DERMATOLOGY LLC |
| Organization Legal Name | AZ DERMATOLOGY LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Dawn Silverman | Physician Assistant | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Joyce Kate Forest | Family Medicine | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Travis A Gilbert | Physician Assistant | Az Dermatology LLC | 4540 E Baseline Rd, Suite 109, Mesa, AZ 85206-4616 |
| Jayshri Gamoth | Dermatology | Az Dermatology LLC | 4540 E Baseline Rd, Suite 109, Mesa, AZ 85206-4616 |
| Street Address |
4540 E BASELINE RD SUITE 109 |
| City | MESA |
| State | AZ |
| Zip | 85206-4616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priti Sud | Gastroenterology | Arizona Gastrointestinal Associates Plc | 4540 E Baseline Rd, Suite 115, Mesa, AZ 85206-4617 |
| Steven Kaiser | Gastroenterology | Arizona Gastrointestinal Associates Plc | 4540 E Baseline Rd, Suite 115, Mesa, AZ 85206-4617 |
| Ryan S Fauble | Gastroenterology | Arizona Gastrointestinal Associates Plc | 4540 E Baseline Rd, Suite 115, Mesa, AZ 85206-4617 |
| Kjersten A Davis | Nurse Practitioner | Arizona Gastrointestinal Associates Plc | 4540 E Baseline Rd, Suite 115, Mesa, AZ 85206-4617 |
| Baljeet Uppal | Vascular Surgery | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4616 | |
| Barbara J Newman | Obstetrics/gynecology | 4540 E Baseline Rd, Suite 114, Mesa, AZ 85206-4617 | |
| Anitha D Yadav | Gastroenterology | Arizona Gastrointestinal Associates Plc | 4540 E Baseline Rd, Suite 115, Mesa, AZ 85206-4617 |
| Travis A Gilbert | Physician Assistant | Az Dermatology LLC | 4540 E Baseline Rd, Suite 109, Mesa, AZ 85206-4616 |
| Jayshri Gamoth | Dermatology | Az Dermatology LLC | 4540 E Baseline Rd, Suite 109, Mesa, AZ 85206-4616 |
| Russell J Homewood | Family Medicine | 4540 E Baseline Rd, Suite 113, Mesa, AZ 85206-4617 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justina D Alphin | Physician Assistant | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Alan D Wamboldt | Orthopedic Surgery | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Ansan Thomas | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Stephanie Deborah Kotsur | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Hollis E Shaw | Hematology/oncology | 6242 E Arbor Ave, Suite 116, Mesa, AZ 85206-1309 | |
| Michele F Davis | Nurse Practitioner | Bruce C Davis, Md, PC | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 |
| Audrey A Lally | Registered Dietitian Or Nutrition Professional | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Monica Abrante | Internal Medicine | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Terry A Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Lisa R Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Find all physicians in zip 85206 | |||
| City | MESA |
| Zip Code | 85206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MESA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly R Harris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.