Edmund D Harris (NPI# 1295706307, PAC ID# 6002861184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1295706307 |
| PAC ID by PECOS | 6002861184 |
| Professional Enrollment ID | I20050322000594 |
| Full Name | Edmund D Harris |
| Organization Legal Name | DIRECT RADIOLOGY PLLC |
| Address |
159 Thornton Ln Lakehills TX 78063-4314 |
| Phone Number | 8556877237 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436396165 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 159 Thornton Ln, Lakehills, TX 78063-4314 | 8556877237 | DIRECT RADIOLOGY PLLC |
| Organization Legal Name | DIRECT RADIOLOGY PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Wood | Diagnostic Radiology | Direct Radiology Pllc | 44 -132 Hako St, Apt 2, Kaneohe, HI 96744-2507 |
| Marc Thomas Johannsen | Diagnostic Radiology | Direct Radiology Pllc | 2507 Holly Point Rd E, Orange Park, FL 32073-5632 |
| James Clark Haug | Diagnostic Radiology | Direct Radiology Pllc | 8611 Lantana Spgs, Converse, TX 78109-2332 |
| Joseph G Mollura | Diagnostic Radiology | Direct Radiology Pllc | 845 United Nations Plz, Apt 47d, New York, NY 10017-3535 |
| Matthew D. Moore | Diagnostic Radiology | Direct Radiology Pllc | 9658 23rd Bay St, Norfolk, VA 23518-1704 |
| Baharak Bagheri | Diagnostic Radiology | Direct Radiology Pllc | 23568 Highland Dr, Fergus Falls, MN 56537-8170 |
| Karen Dittrich | Diagnostic Radiology | Direct Radiology Pllc | 95 E 4100, Park City, UT 84098-6323 |
| Street Address |
159 THORNTON LN |
| City | LAKEHILLS |
| State | TX |
| Zip | 78063-4314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley R Kohlleppel | Family Medicine | 146 Laurel Vista Dr, Pipe Creek, TX 78063-6389 |
| City | LAKEHILLS |
| Zip Code | 78063 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LAKEHILLS + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Edmund 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.