EVAN WYNNE HARRIS (NPI# 1255340865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255340865 |
| Entity Type | Individual |
| Full Name | EVAN WYNNE HARRIS |
| Credential | M.D. |
| Practice Address |
622 Hebron Ave Ste 103 Glastonbury CT 06033-5003 |
| Mailing Address |
7474 Greenway Center Dr Ste 1000 Greenbelt MD 20770-3500 |
| Practice Telephone | 7274528777 |
| Mailing Telephone | 8558308346 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
ME65745 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
53739 | CT | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0101257553 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594183 | Evan Curtis Harris | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-03-24 |
| 1194231019 | Evan Harris | Social Worker | 100 19th St Ste 102, Rock Island, IL 61201-8022 | 2017-12-15 |
| Street Address |
622 HEBRON AVE STE 103 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686933 | Bryan Thomas Suchecki | Radiology | 65 Douglas Rd, Glastonbury, CT 06033-2219 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083859649 | Thomas V Divinagracia | Radiology | 85 Seymour St., Suite 409, Hartford, CT 06106 | 2008-12-11 |
| 1336176270 | Daniel Jay Kase | Radiology | 57 Commercial Blvd, Torrington, CT 06790-3097 | 2006-06-27 |
| 1669458766 | Domenic A. Zambuto | Radiology | 110 Albany Tpke, 209, Canton, CT 06019-2547 | 2005-12-20 |
| 1417933961 | Fernando F. Illescas | Radiology | 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 | 2005-12-16 |
| 1700494887 | Advanced Radiology Partners LLC | Radiology | 15 Corporate Dr, Trumbull, CT 06611-1351 | 2020-07-15 |
| 1417574708 | K&h Medical Ct Pllc | Radiology | 160 West Street, Builing 1 Suite 7, Cromwell, CT 06416 | 2020-07-02 |
| 1174168926 | Vinay Madan, Md, LLC | Radiology | 35 Danbury Rd, Wilton, CT 06897-4428 | 2019-11-14 |
| 1639739634 | Vein Centers, LLC | Radiology | 23 Cedar St, New Britain, CT 06052-1301 | 2019-06-20 |
| 1417361627 | James Gardner | Radiology | 20 York St, New Haven, CT 06510-3220 | 2014-06-16 |
| 1033553508 | Pallavi Nadendla | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2013-04-26 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.