Susan R Harris (NPI# 1366614869, PAC ID# 5193886729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366614869 |
| PAC ID by PECOS | 5193886729 |
| Professional Enrollment ID | I20081201000720 |
| Full Name | Susan R Harris |
| Organization Legal Name | CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC |
| Address |
111 Fashion St Suite D Pounding Mill VA 24637-4351 |
| Phone Number | 2765966375 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436259223 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490060 | CLINCH VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 Fashion St, Suite D, Pounding Mill, VA 24637-4351 | 2765966375 | CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC |
| Organization Legal Name | CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara B Lark | Nurse Practitioner | Clinch Professional Physician Services LLC | 13395 Governor G C Peery Hwy, Pounding Mill, VA 24637-4014 |
| Arundeep S Kahlon | Gastroenterology | Clinch Professional Physician Services LLC | 6719 Governor G C Peery Hwy 2900, Richlands, VA 24641 |
| April Marie Colley | Nurse Practitioner | Clinch Professional Physician Services LLC | 6719 Gov G C Peery Hwy 1250, Richlands, VA 24641 |
| Jamal Sahyouni | Internal Medicine | Clinch Professional Physician Services LLC | 6719 Governor G C Peery Hwy 3600, Richlands, VA 24641 |
| Chauncey B Santos | Orthopedic Surgery | Clinch Professional Physician Services LLC | 6719 Governor Gc Peery Hwy, Suite 1000, Richlands, VA 24641-0280 |
| Kevin P Carter | Qualified Audiologist | Clinch Professional Physician Services LLC | 6719 Governor Gc Peery Hwy 2450, Richlands, VA 24641-2486 |
| Mary S Keen | Nurse Practitioner | Clinch Professional Physician Services LLC | 1100 Cedar Valley Dr, Cedar Bluff, VA 24609-9184 |
| Clayton Leo Morgan Jr. | Physician Assistant | Clinch Professional Physician Services LLC | 6719 Governor Gc Peery Hwy 2450, Richlands, VA 24641-2486 |
| Joseph C Moran | General Surgery | Clinch Professional Physician Services LLC | 6719 Governor Gc Peery Hwy 2450, Richlands, VA 24641-2486 |
| Laura Catherine Potter | Nurse Practitioner | Clinch Professional Physician Services LLC | 1100 Cedar Valley Dr, Cedar Bluff, VA 24609-9184 |
| Street Address |
111 FASHION ST SUITE D |
| City | POUNDING MILL |
| State | VA |
| Zip | 24637-4351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra R Dingus | Nurse Practitioner | Clinch Professional Physician Services LLC | 111 Fashion St, Suite D, Pounding Mill, VA 24637-4351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie J Christian | Optometry | Valerie J. Christian, O.d., P.C. | 13320 Gc Peery Hwy, Pounding Mill, VA 24637 |
| Boykin Baird Smith | Optometry | Valerie J. Christian, O.d., P.C. | 13320 Gc Peery Hwy, Pounding Mill, VA 24637 |
| Sara B Lark | Nurse Practitioner | Clinch Professional Physician Services LLC | 13395 Governor G C Peery Hwy, Pounding Mill, VA 24637-4014 |
| Kerry Keith Cline | Optometry | 113 Short St, Pounding Mill, VA 24637-4278 |
| City | POUNDING MILL |
| Zip Code | 24637 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POUNDING MILL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan 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.