Brian D Harris (NPI# 1396904785, PAC ID# 3476685322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1396904785 |
| PAC ID by PECOS | 3476685322 |
| Professional Enrollment ID | I20180410000113 |
| Full Name | Brian D Harris |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF INDIANA LLC |
| Address |
24 Joliet St Us Route 30 Dyer IN 46311 |
| Phone Number | 2198652141 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 1153576905 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150165 | FRANCISCAN HEALTHCARE - MUNSTER |
| 150090 | FRANCISCAN HEALTH DYER |
| 150004 | FRANCISCAN ST. MARGARET HEALTH HAMMOND |
| Address | Phone | Organization |
|---|---|---|
| 24 Joliet St Us Route 30, Dyer, IN 46311 | 2198652141 | NORTHSTAR ANESTHESIA OF INDIANA LLC |
| 701 Superior Ave, Munster, IN 46321-4037 | 2199224200 | NORTHSTAR ANESTHESIA OF INDIANA LLC |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF INDIANA LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rushyt Patel | Anesthesiology | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Kristina M Derolf | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Timothy Dykstra | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Carlo Balmaseda | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Lenny Olivares | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 5454 Hohman Ave, Hammond, IN 46320-1931 |
| Lillibet G Escalante | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 5454 Hohman Ave, Hammond, IN 46320-1931 |
| Dora R Green | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Jamie Bridgwater | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Kelly J Williams | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Pavel G Morozov | Anesthesiology | Northstar Anesthesia of Indiana LLC | 5454 Hohman Ave, Hammond, IN 46320-1931 |
| Street Address |
24 JOLIET ST US ROUTE 30 |
| City | DYER |
| State | IN |
| Zip | 46311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rushyt Patel | Anesthesiology | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Kristina M Derolf | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Timothy Dykstra | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Carlo Balmaseda | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Dora R Green | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Jamie Bridgwater | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Kelly J Williams | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Mary Ann A Dow | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Jennifer M Truesdale | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Christopher C Ehrler | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Shane Newell | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Audrie E Safrithis | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Evelyn G Santos | Anesthesiology | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Enyinnaya Omelogu | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Jian Liu | Anesthesiology | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Brianna Eloise Campos | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Matina J Georgeon | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| James M Safrithis | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Harold Cezar | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| David M Velasco | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Indiana LLC | 24 Joliet St Us Route 30, Dyer, IN 46311 |
| Find all physicians in zip 46311 | |||
| City | DYER |
| Zip Code | 46311 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | DYER + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Brian D 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.