JUAN-DIEGO HARRIS (NPI# 1306827654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306827654 |
| Entity Type | Individual |
| Full Name | JUAN-DIEGO HARRIS |
| Credential | MD |
| Practice Address |
3 Lyon Pl Ogdensburg NY 13669-2590 |
| Practice Telephone | 3153947542 |
| Practice Fax Number | 3153940015 |
| Mailing Telephone | 3153947542 |
| Mailing Fax Number | 3153940015 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
X001531-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
001531 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PTAN | RB6019 | 01 |
| NY | 02375226 | 05 |
| Street Address |
3 LYON PL |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274275 | Brian Richard Kerrigan | Family Medicine | 3 Lyon Pl, Suite 303, Ogdensburg, NY 13669-2590 | 2005-06-10 |
| 1366935298 | Lindsey Grace Mclear | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2018-06-14 |
| 1144741158 | Kenneth Hilborne | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2017-06-29 |
| 1376081240 | Steven Mussett | Orthopaedic Surgery | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2017-02-10 |
| 1407227044 | North Country Ophthalmology Associates PC | Eyewear Supplier (Equipment, not the service) | 3 Lyon Pl, Suite 101, Ogdensburg, NY 13669-2590 | 2015-10-08 |
| 1225419054 | Gabrielle Bentley | Physician Assistant | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2015-06-17 |
| 1407264625 | Katherine Richey | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2014-07-31 |
| 1790116267 | Ricardo Lundi | Podiatrist | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2013-12-09 |
| 1285918482 | Honeylee Duque Agustin | Specialist | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2011-10-06 |
| 1104108976 | Marta Anghel, M.d. | Internal Medicine | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274581 | Taylor Mclear | Occupational Therapist | 100 Ford St, Ogdensburg, NY 13669 | 2017-09-22 |
| 1457769267 | Nupur Nagrare | Family Medicine | 100 Horwood Pl, Ogdensburg, NY 13669 | 2014-07-24 |
| 1598008039 | Darcie L Ferro | Counselor | 206 Ford St., Ogdensburg, NY 13669 | 2013-04-03 |
| 1326380999 | United Helpers Mosaic | Nursing Care | 732 Ford Street, Ogdensburg, NY 13669 | 2013-03-21 |
| 1831497346 | Nicole Sovie | Licensed Practical Nurse | 828 Franklin St., Ogdensburg, NY 13669 | 2011-03-08 |
| 1023331105 | Alyssa Megan Murphy | Pharmacist | 723 Canton Street, Ogdensbury, NY 13669 | 2010-03-03 |
| 1023266137 | Tonya Lynn Ott | Licensed Practical Nurse | 618 Irvin St, Ogdensburg, NY 13669 | 2008-09-03 |
| 1659551778 | Jeremy M. Warchol | Physical Therapist | 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 | 2007-11-06 |
| 1760683353 | Katie Elizabeth Lesperance | Social Worker | 109 Ford Street, Ogdensburg, NY 13669 | 2007-05-30 |
| 1013045632 | Dale Lester Hosmer | Dentist | 414 Jay Street, Ogdensburg, NY 13669 | 2007-03-02 |
| Find all providers in zip 13669 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617917 | New York Pain Consultants LLC | Pain Medicine | 550 Mamaroneck Ave Ste 503, Harrison, NY 10528-1609 | 2019-09-09 |
| 1528553559 | Surgical Pain Center of The Adirondacks, LLC | Pain Medicine | 470 Tom Miller Rd, Plattsburgh, NY 12901-6432 | 2018-06-22 |
| 1922509769 | Bl Pain Management Pllc | Pain Medicine | 9618 63rd Dr Ste 202, Rego Park, NY 11374-2239 | 2018-02-27 |
| 1588183008 | Mmiddletown Interventional Pain Management, P.C. | Pain Medicine | Middletown Interventional Pain Management, P.C., 400 Route 211 East Suite 12, Middletown, NY 10940-2123 | 2017-09-15 |
| 1861918781 | New York Pain Consultants LLC | Pain Medicine | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2017-08-22 |
| 1689031577 | Eighth Avenue Medical, Pllc | Pain Medicine | 839 57th St Fl 1, Brooklyn, NY 11220-6851 | 2016-01-22 |
| 1437556040 | New York Pain Consultants, LLC | Pain Medicine | 8 Saxon Ave Ste E, Bay Shore, NY 11706-7036 | 2014-11-25 |
| 1801200423 | Ayesha Hameed | Pain Medicine | 1111 Broadhollow Rd Ste 114, Farmingdale, NY 11735 | 2014-06-12 |
| 1285973438 | Irfan A Alladin, Md PC | Pain Medicine | 2901 Bayview Ave, Baldwin, NY 11510-4451 | 2013-02-07 |
| 1336490663 | Bhupinder Singh Bolla Md Pllc | Pain Medicine | 107 Court St, Watertown, NY 13601-2534 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | OGDENSBURG |
| Zip Code | 13669 |
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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.