KENNETH A. HARRIS, M.D., P.C. (NPI# 1669678587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669678587 |
| Entity Type | Organization |
| Organization Name | KENNETH A. HARRIS, M.D., P.C. |
| Practice Address |
10503 W Thunderbird Blvd # 313 Sun City AZ 85351-3022 |
| Practice Telephone | 6239333865 |
| Practice Fax Number | 6239331413 |
| Mailing Telephone | 6239333865 |
| Mailing Fax Number | 6239331413 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | PAUL M SHANAHAN (BILLING MANAGER) |
| Authorized Official Telephone | 6239746611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
13481 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | INDIVIDUAL NPI | 1215067533 | 01 |
| Street Address |
10503 W THUNDERBIRD BLVD # 313 |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643920 | Kumar L Ravi | Internal Medicine | 10503 W Thunderbird Blvd, Ste 103, Sun City, AZ 85351-3022 | 2005-10-18 |
| 1821596875 | Sarah Elizabeth Bade | Physical Therapist | 10503 W Thunderbird Blvd, Sun City, AZ 85351-3022 | 2018-01-24 |
| 1578070066 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 10503 W Thunderbird Blvd, Sun City, AZ 85351-3022 | 2018-01-05 |
| 1689126591 | Julia D'angelo | Physician Assistant | 10503 W Thunderbird Blvd, 366, Sun City, AZ 85351-3022 | 2016-10-26 |
| 1720482912 | Philip Jordan Ristvedt | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2014-10-16 |
| 1447502968 | Advanced Audiological Associates, LLC | Audiologist-Hearing Aid Fitter | 10503 W Thunderbird Blvd, Suite 114, Sun City, AZ 85351-3022 | 2012-10-08 |
| 1104176627 | Morris Bruce Hamburg | Nurse Practitioner | 10503 W Thunderbird Blvd, Suite 262, Sun City, AZ 85351-3022 | 2012-09-12 |
| 1063788875 | Todd Christopher Herman | Specialist | 10503 W Thunderbird Blvd, Suite 262, Sun City, AZ 85351-3022 | 2012-03-26 |
| 1427368885 | Ahmad Nizam | Specialist | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3022 | 2010-10-19 |
| 1902116965 | Mara Lee Hall | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932569324 | Arizona Neurology Associates Pllc | Psychiatry & Neurology | 10474 W Thunderbird Blvd Ste 200, Sun City, AZ 85351-3015 | 2016-02-29 |
| 1184695165 | Maninder Singh Kahlon | Psychiatry & Neurology | 13640 N 99th Ave Ste 100, Sun City, AZ 85351-0001 | 2006-01-30 |
| 1497748289 | Marwan Noel Sabbagh | Psychiatry & Neurology | 10515 W Santa Fe Dr, Sun City, AZ 85351 | 2005-08-26 |
| 1184917700 | Mona Girish Mehta | Psychiatry & Neurology | 13640 N 99th Ave Ste 100, Sun City, AZ 85351-0001 | 2011-05-16 |
| 1164713749 | Brandon Craig Woods | Psychiatry & Neurology | 10474 W Thunderbird Blvd, #200, Sun City, AZ 85351-3023 | 2011-04-29 |
| 1477726933 | Pritish Subhash Pawar | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2008-04-05 |
| 1063614873 | Sara Sherali Dhanani | Psychiatry & Neurology | 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 | 2007-06-04 |
| 1215067533 | Kenneth Arthur Harris | Psychiatry & Neurology | 10503 W Thunderbird Blvd, Ste 313, Sun City, AZ 85351-3049 | 2007-03-06 |
| 1255302352 | Seth Edward Larson | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3015 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772027 | Alobaidy Neurology Consultants Pllc | Psychiatry & Neurology | 3719 E Louise Dr, Phoenix, AZ 85050-8314 | 2020-05-18 |
| 1619509718 | De Ocampo Medical Partners Pllc | Psychiatry & Neurology | 7500 N Dreamy Draw Dr Ste 133, Phoenix, AZ 85020-4668 | 2020-02-06 |
| 1861024184 | Arizona Epilepsy Associates LLC | Psychiatry & Neurology | 2501 E Southern Ave Ste 16, Tempe, AZ 85282-7667 | 2020-02-05 |
| 1063051514 | Spine Builders, LLC | Psychiatry & Neurology | 9700 N 91st St Ste B108, Scottsdale, AZ 85258-5036 | 2020-01-02 |
| 1811539901 | Arizona Neurological Services Pllc | Psychiatry & Neurology | 14001 N 7th St Bldg F1, Phoenix, AZ 85022-4382 | 2019-10-10 |
| 1366905465 | Neurology Associates of Scottsdale Arizona, PC | Psychiatry & Neurology | 9817 N 95th St Ste 115, Scottsdale, AZ 85258-4587 | 2019-04-08 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1649751082 | Jennifer Victoria Robblee | Psychiatry & Neurology | 240 W Thomas Rd Fl 4, Phoenix, AZ 85013-4407 | 2018-08-23 |
| 1992294607 | Kathryn Clare Krulisky | Psychiatry & Neurology | 1501 N Campbell Ave Rm 6204a, Tucson, AZ 85724-0001 | 2018-05-08 |
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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.