Larry D Harries (NPI# 1033105994, PAC ID# 4486568581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1033105994 |
| PAC ID by PECOS | 4486568581 |
| Professional Enrollment ID | I20060314000503 |
| Full Name | Larry D Harries |
| Organization Legal Name | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address |
307 Saint Johns Way Lewiston ID 83501-2435 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1968 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2961497235 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 307 Saint Johns Way, Lewiston, ID 83501-2435 | ST JOSEPH REGIONAL MEDICAL CENTER | |
| 307 Saint Johns Way, Lewiston, ID 83501-2435 | ST JOSEPH HOSPITAL LLC |
| Organization Legal Name | ST JOSEPH REGIONAL MEDICAL CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda K.d. Bye | Psychiatry | St Joseph Regional Medical Center | 415 6th St, Lewiston, ID 83501-2431 |
| Chivonne Mraz | Clinical Social Worker | St Joseph Regional Medical Center | 307 Saint Johns Way, Lewiston, ID 83501-2435 |
| Larry P Davis | Anesthesiology | St Joseph Regional Medical Center | 415 6th St, Lewiston, ID 83501-2431 |
| Street Address |
307 SAINT JOHNS WAY |
| City | LEWISTON |
| State | ID |
| Zip | 83501-2435 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Smith | General Surgery | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 4, Lewiston, ID 83501-2435 |
| Tyler Douglas Clark | Family Medicine | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 11, Lewiston, ID 83501-2435 |
| Amy Dawnette Johnson | Nurse Practitioner | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 17, Lewiston, ID 83501-2435 |
| Donald J Greggain | Family Medicine | St Joseph Hospital LLC | 307 Saint Johns Way, Lewiston, ID 83501-2435 |
| Mark R Keane | Neurology | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 1, Lewiston, ID 83501-2435 |
| Tamara L Bruns | Nurse Practitioner | St Joseph Hospital LLC | 307 Saint Johns Way, Lewiston, ID 83501-2435 |
| Michael J Baldeck | Family Medicine | St Joseph Hospital LLC | 307 Saint Johns Way, Lewiston, ID 83501-2435 |
| Daniel B Mcintosh | Internal Medicine | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 17, Lewiston, ID 83501-2435 |
| Jean K Thomas | Neurosurgery | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 1, Lewiston, ID 83501-2435 |
| Gary M Thorne | General Surgery | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 4, Lewiston, ID 83501-2435 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
| Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
| Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
| Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
| Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
| Find all physicians in zip 83501 | |||
| City | LEWISTON |
| Zip Code | 83501 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LEWISTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Larry D Harries.
| 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.