Clinton L Harris (NPI# 1417940321, PAC ID# 4486695129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1417940321 |
| PAC ID by PECOS | 4486695129 |
| Professional Enrollment ID | I20150508001859 |
| Full Name | Clinton L Harris |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP PC |
| Address |
1125 Madison St Jefferson City MO 65101-5227 |
| Phone Number | 5736325354 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 1850371089 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260047 | CAPITAL REGION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1125 Madison St, Jefferson City, MO 65101-5227 | 5736325354 | JEFFERSON CITY MEDICAL GROUP PC |
| 1125 Madison St, Jefferson City, MO 65101-5227 | 5736342620 | CAPITAL REGION MEDICAL CENTER |
| 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | JEFFERSON CITY MEDICAL GROUP PC | |
| 2701 W Edgewood Dr, 105 Select Physical Therapy 40821, Jefferson City, MO 65109-5890 | 5737615130 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP PC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Tracy J Guthrie | Nurse Practitioner | Jefferson City Medical Group PC | 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735 |
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Willis H Hoyt Iii | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 |
| Douglas J Howland | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Judy A Wienke | Nurse Practitioner | Jefferson City Medical Group PC | 606 E Buchanan St, Family Health Clinic, California, MO 65018-1910 |
| Michael Steenbergen | Family Medicine | Jefferson City Medical Group PC | 1306 E Main St, Linn, MO 65051-2503 |
| Thomas Schneider | Pulmonary Disease | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Saira Babar | Family Medicine | Jefferson City Medical Group PC | 1735 Elm Ct, Jefferson City, MO 65101-4129 |
| Philip L Rumbaoa | Family Medicine | Jefferson City Medical Group PC | 5816 Osage Beach Pkwy, Suite 105, Osage Beach, MO 65065-3046 |
| Street Address |
1125 MADISON ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip | 65101-5227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Hilderbrand | Certified Registered Nurse Anesthetist (crna) | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Sharmila Suri Mohanram | Neurology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Thomas E Hetherington | Anesthesiology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Steven Lyons | General Surgery | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Nicolette Wise | Anesthesiology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Laura J Sievert | Diagnostic Radiology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Rodney K Adkison | Hospitalist | Hospital Medicine Services of Tennessee PC | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Manav Nayyar | Endocrinology | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Ani Durham | General Surgery | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Katherine A Cavender | Certified Registered Nurse Anesthetist (crna) | Capital Region Medical Center | 1125 Madison St, Jefferson City, MO 65101-5227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Michael Snyder | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Jonathan M Craighead | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Mauricio J Pasquale | Physician Assistant | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Matthew M Ragsdell | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Bradley S Sloan | Family Medicine | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| John J Krautmann | Orthopedic Surgery | Jefferson City Medical Group, PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Alicia D Barnes | Clinical Social Worker | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Jacqueline R Henry | Psychologist, Clinical | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Danielle R Schwartz | Speech Language Pathologist | 1908 Whitney Woods Dr, Jefferson City, MO 65101-2386 | |
| Find all physicians in zip 65101 | |||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | JEFFERSON CITY + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Clinton L 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.