DR. EDMUND JOHN HARRIS JR. (NPI# 1427133438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427133438 |
| Entity Type | Individual |
| Full Name | DR. EDMUND JOHN HARRIS JR. |
| Credential | MD |
| Practice Address |
300 Pasteur Dr. H3600, Mc: 5642 Stanford CA 94305-2200 |
| Practice Telephone | 6507255227 |
| Mailing Telephone | 6507255227 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G74792 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G74792 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706307 | Edmund D Harris | Radiology | 6300 Bridge Point Pkwy, Suite 2312, Austin, TX 78730-5073 | 2006-01-27 |
| Street Address |
300 PASTEUR DR. H3600, MC: 5642 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225053739 | Zina Zarshenas Payman | Radiology | 300 Pasteur Dr., Stanford, CA 94305 | 2006-07-13 |
| 1588293286 | David Anthony Hartmann | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Lane 154, Stanford, CA 94305-5133 | 2020-04-04 |
| 1578022828 | Kavitha Subramanian | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Lane 154, Stanford, CA 94305-5133 | 2019-03-17 |
| 1316393747 | Terrence Pong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Falk Cardiovascular Research Bldg., Stanford, CA 94305-5407 | 2016-05-04 |
| 1497122360 | Cheryl Ann Passanisi | Nurse Practitioner | 300 Pasteur Dr., Stanford, CA 94305 | 2015-08-27 |
| 1174943195 | Asiri Ediriwickrema | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Lane 154, Stanford, CA 94305-5133 | 2014-04-17 |
| 1609160902 | Katherine Marie Shea | Emergency Medicine | 300 Pasteur Dr., Stanford Hospital and Clinics, Stanford, CA 94305-2200 | 2011-06-03 |
| 1578868626 | Michelle Marie Klesczewski | Nurse Practitioner | 300 Pasteur Dr., Stanford Hospital and Clinics, Stanford, CA 94305-5327 | 2011-01-21 |
| 1669782645 | Andrea Jayne Frederick | Nurse Practitioner | 300 Pasteur Dr., Room A260, Stanford, CA 94305-5319 | 2010-10-08 |
| 1598996464 | Neil Kulin Shah | Pathology | 300 Pasteur Dr., Room H-1402 M/c 5626, Stanford, CA 94305-5626 | 2009-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132978 | Matthew William Mell | Surgery | 300 Pasteur Drive, H3600, Stanford University Hospital and Clinics, Stanford, CA 94305-5642 | 2006-05-18 |
| 1316237548 | Elsie Gyang Ross | Surgery | 300 Pasteur Dr, Stanford, CA 94305 | 2011-04-08 |
| 1245558725 | Ryo Suzuki | Surgery | 300 Pasteur Dr, Stanford, CA 94305 | 2010-05-10 |
| 1043407430 | Tae Kyung Song | Surgery | 300 Pasteur Dr, Room H3600, Stanford, CA 94305-2200 | 2007-09-28 |
| 1225229024 | Oliver Oppers Aalami | Surgery | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-08-06 |
| 1801018585 | Ehab E Sorial | Surgery | 300 Pasteur Dr, H3600 Mc5642, Stanford, CA 94305-2200 | 2007-05-03 |
| 1437377280 | Manuel Garcia-toca | Surgery | 300 Pasteur Dr, Suite 470, Stanford, CA 94305-2200 | 2007-04-24 |
| 1467531087 | Christopher Kristaps Zarins | Surgery | 300 Pasteur Dr, H3638, Stanford, CA 94305-2200 | 2006-11-03 |
| 1568475333 | Jason T Lee | Surgery | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2006-08-14 |
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|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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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.