MR. WILLIAM JOSEPH HARRIS JR.


Address: 1636 Regulus Ave, Nswdg (n00m), Virginia Beach, VA 23461
Phone: 7578932026

MR. WILLIAM JOSEPH HARRIS JR. (NPI# 1528209160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528209160
Entity Type Individual
Full Name MR. WILLIAM JOSEPH HARRIS JR.
Credential SFIDC
Practice Address 1636 Regulus Ave
Nswdg (n00m)
Virginia Beach
VA 23461
Practice Telephone 7578932026
Practice Fax Number 7574928409
Mailing Telephone 7578932026
Mailing Fax Number 7574928409
Enumeration Date 2009-03-11
Last Update Date 2009-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers WILLIAM HARRIS

NPI Name Taxonomy Address Enumeration
1538616024 William James Harris Military Health Care Provider Psc Box 20117, Charles Luke Milam Clinic Bldg. Rr 440, Camp Lejeune, NC 28542-0117 2016-09-01
1003279951 William Crawford Harris Student in an Organized Health Care Education/Training Program 1312 Robert St, New Orleans, LA 70115-2913 2016-03-29
1164832390 William E. Harris Behavioral Analyst 7040 Caribou Ridge #102, Las Vegas, NV 89149 2014-04-28
1659668481 William Harris Counselor 1705 N. Fm. 179, Lubbock, TX 79416 2011-06-30
1306153648 William Bennett Harris Counselor 3111 Monroe Rd Ste 201, Suite 100, Charlotte, NC 28205-7542 2010-09-08
1922339514 William Turner Harris Specialist 4816 Country Club Blvd, Little Rock, AR 72207-4720 2010-01-20
1053560698 William David Harris Jr. Pharmacist Rural Route 5 Box 46, Espanola, NM 87532 2008-09-18
1912114513 William Thomas Harris Psychiatry & Neurology 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 2007-05-16
1720209372 William Goddard Harris Family Medicine 8 Alford Drive, Windsor, CT 06095-1629 2007-05-01
1083768816 William Harris Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 104 Sterling Rd, Jacksonville, NC 28546-8330 2007-01-22

Office Location

Street Address 1636 REGULUS AVE
NSWDG (N00M)
City VIRGINIA BEACH
State VA
Zip Code 23461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235101536 S Scott Olexy Physician Assistant 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2006-02-02
1275157745 Jonathon Daniel Ratkus Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2020-06-01
1447677398 Hoa Tan Tran Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2014-03-27
1548506967 Raymond Suhr Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2012-12-13
1104178672 William Keith Dow Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2012-10-09
1174874168 Jordan William Ward Military Health Care Provider 1636 Regulus Ave, Attn: Noom, Virginia Beach, VA 23461-2200 2012-10-01
1740596048 Robert C St.pierre Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2010-08-24
1962724724 John D Dempsey Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2010-02-22
1922339928 James Paul White Jr. Physician Assistant 1636 Regulus Ave, N00m, Virginia Beach, VA 23461-2200 2010-01-15
1710216569 Michael Dean Evans Physician Assistant 1636 Regulus Ave, Virginia Beach, VA 23461-2200 2009-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568841880 Robert Jadgchew Specialist/Technologist 427 Polaris Avenue, Bldg 586, Virginia Beach, VA 23461 2015-05-19
1790925188 Matthew E Gaffigan Emergency Medicine 472 Polaris Blvd, Bldg 586, Virginia Beach, VA 23461 2009-02-25
1740389865 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 2006-09-22
1629090444 Michele B Olive Social Worker 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 2006-07-24
1386019131 Joseph Biron Psychologist 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 2015-12-04
1407097215 Steven Brian Bennett Physician Assistant 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2009-03-09
1801370382 Mathieu Cote Military Health Care Provider 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2018-09-20
1366966962 Owen Wilhelm Horton Military Health Care Provider 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2017-07-26
1205356433 Nicholas Aaron Kilgore Military Health Care Provider 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2017-06-20
1659837805 Yaslin Filpo Dental Hygienist 1885 Terrier Ave, Virginia Beach, VA 23461-2203 2019-02-13
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306455522 Kevin Bradley Military Health Care Provider 903 13th St, Virginia Beach, VA 23451-4476 2020-07-23
1851900088 Seth Walter Military Health Care Provider 1825 Olympic Dr, Virginia Beach, VA 23453-3720 2020-07-23
1912545534 Ashton Neal Burnett Military Health Care Provider 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 2019-12-13
1578056743 Elis Bojaxhi Military Health Care Provider 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 2018-06-12
1497298616 Mario Zavala Military Health Care Provider 408 N Amsterdam Ct, Virginia Beach, VA 23454-4213 2016-11-19
1568904738 Pierce Cogburn Military Health Care Provider 3985 Old Forge Rd, Virginia Beach, VA 23452-2173 2016-11-04
1851841449 John Douglas Moore Military Health Care Provider 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 2016-10-07
1730559618 Aaron Joseph Cortina Military Health Care Provider 2340 Amphibious Dr, Bldg 2012 Suite 125, Virginia Beach, VA 23459-8810 2015-10-05
1427430297 Daniel Anthony Leonesio Military Health Care Provider 1432 Pandoria Ct, Virginia Beach, VA 23455-3738 2015-06-29
1346659570 Nicholas Charles Edward Rohde Military Health Care Provider 4946 Juno Rd, Virginia Beach, VA 23455-2244 2014-08-13
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Competitor

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City VIRGINIA BEACH
Zip Code 23461

Improve Information

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Dataset Information

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.

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