STEPHEN D HARRIS (NPI# 1598760001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598760001 |
| Entity Type | Individual |
| Full Name | STEPHEN D HARRIS |
| Credential | D.P.M. |
| Practice Address |
3260 Eagle Park Dr Ne Suite 116 Grand Rapids MI 49525-4569 |
| Mailing Address |
Po Box 4839 Troy MI 48099-4839 |
| Practice Telephone | 6169572088 |
| Practice Fax Number | 8556655636 |
| Mailing Telephone | 2488246600 |
| Mailing Fax Number | 2483241477 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001348 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4348724 | 05 | |
| MI | MEDICARE RAILROAD | P00019530 | 01 |
| MI | BLUE CROSS BLUE SHIELD # | 4853950100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1396133856 | Stephen Harris | Physician Assistant | 526 Winston Rd, Jonesville, NC 28642 | 2015-01-06 |
| 1225464837 | Stephen Mitchell Harris | Military Health Care Provider | 49 Spruce St, Pcs Box 1000, Langley Afb, VA 23665-2800 | 2013-09-16 |
| 1619156999 | Stephen Paul Harris | Counselor | 5730 60th Dr Ne, Marysville, WA 98270-9522 | 2007-11-02 |
| 1669672598 | Stephen B. Harris | Social Worker | 1900 Century Place, Suite 200, Atlanta, GA 30345-4302 | 2007-07-19 |
| 1649342841 | Stephen R Harris | Anesthesiology | 7300 Remcon Cir, Suite 200, El Paso, TX 79912-1642 | 2006-11-14 |
| 1063514420 | Stephen R Harris | Dentist | 34024 W 8 Mile Rd, Suite 106, Farmington Hills, MI 48335-5209 | 2006-09-05 |
| 1043269889 | Stephen Harris | Physical Therapist | 4005 Village Park Dr, Knightdale, NC 27545-7044 | 2006-05-09 |
| 1316918279 | Stephen James Harris | Psychologist | 26381 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6301 | 2006-01-30 |
| 1922523364 | Stephen Harris | Physical Therapist | 14028 Se Petrovitsky Rd, Renton, WA 98058 | 2017-08-07 |
| Street Address |
3260 EAGLE PARK DR NE SUITE 116 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755679 | Heather Lynn Drayton | Speech-Language Pathologist | 3260 Eagle Park Dr Ne, Grand Rapids, MI 49525-4569 | 2020-06-22 |
| 1801328489 | Samantha Reitsma | Speech-Language Pathologist | 3260 Eagle Park Dr Ne, Suite 117, Grand Rapids, MI 49525-4569 | 2017-04-01 |
| 1659759041 | Marcia Harris | Behavioral Analyst | 3260 Eagle Park Dr Ne, Suite 117, Grand Rapids, MI 49525-4569 | 2015-05-18 |
| 1669850343 | Encourage Institute for Teaching and Learning, LLC | Counselor | 3260 Eagle Park Dr Ne, Suite 117, Grand Rapids, MI 49525-4569 | 2015-05-13 |
| 1841687084 | Mary S Rozendal | Counselor | 3260 Eagle Park Dr Ne, Suite 117, Grand Rapids, MI 49525-4569 | 2015-04-24 |
| 1861629263 | Linda Sue Haveman | Counselor | 3260 Eagle Park Dr Ne, Suite 117, Grand Rapids, MI 49525-4569 | 2009-06-12 |
| 1427066646 | Magalis Llovet | Family Medicine | 3260 Eagle Park Dr Ne, Ste115, Grand Rapids, MI 49525-4569 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912318502 | Brianna M David | Podiatrist | 2144 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-6117 | 2014-05-16 |
| 1154460962 | Foot & Ankle Specialists of West Michigan P L L C | Podiatrist | 2144 E Paris Se, Ste 100, Grand Rapids, MI 49546 | 2007-02-06 |
| 1679591226 | Eric K Gilbertson | Podiatrist | 1542 Golf Course Rd Ste 208, Grand Rapids, MN 55744-3555 | 2006-07-18 |
| 1447281662 | Corwyn B Bergsma | Podiatrist | 1195 Wilson Ave Nw, Suite 200, Grand Rapids, MI 49534-6405 | 2006-07-05 |
| 1790714277 | Michael George David | Podiatrist | 2144 East Paris Ave Se, Ste 100, Grand Rapids, MI 49546 | 2006-06-30 |
| 1679501290 | Patrick J Meyer | Podiatrist | 5175 Plainfield Drive N.e., Grand Rapids, MI 49525 | 2006-06-30 |
| 1023046844 | William Robert Decker | Podiatrist | 1195 Wilson Nw, Grand Rapids, MI 49534-6404 | 2006-06-29 |
| 1528094257 | Richard W Rozelle | Podiatrist | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 | 2006-06-24 |
| 1023053436 | Timothy J Hulst | Podiatrist | 2144 E. Paris Ave. Se, Ste 100, Grand Rapids, MI 49546 | 2006-06-19 |
| 1821633967 | Renew Foot & Ankle LLC | Podiatrist | 1542 Golf Course Rd Ste 208, Grand Rapids, MN 55744-3555 | 2019-11-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on STEPHEN D HARRIS.
| 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.