DR. WALTER HARRIS (NPI# 1689730905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689730905 |
| Entity Type | Individual |
| Full Name | DR. WALTER HARRIS |
| Credential | M.D. |
| Practice Address |
255 S 17th St Suite 1002 Philadelphia PA 19103-6231 |
| Mailing Address |
2000 Hamilton St Rodin Place Suite 306 Philadelphia PA 19130-3814 |
| Practice Telephone | 2155455001 |
| Practice Fax Number | 2155455763 |
| Mailing Telephone | 2155455001 |
| Mailing Fax Number | 2155455763 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD039446E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1110571 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139574 | Walter Robert Harris | Counselor | 30 Stonecrest Ct, Shelbyville, KY 40065-8128 | 2020-03-16 |
| 1205126992 | Walter David Harris | Obstetrics & Gynecology | 4485 Furling Ln, Destin, FL 32541-5331 | 2011-04-14 |
| 1992945430 | Walter Clyde Harris | Physician Assistant | 710 N Euclid St, Suite 201, Anaheim, CA 92801-4115 | 2009-02-24 |
| Street Address |
255 S 17TH ST SUITE 1002 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343438 | Joseph Salkowitz | Dentist | 255 S 17th St, Ste 1201, Philadelphia, PA 19103-6212 | 2005-06-02 |
| 1457959322 | Ghynecee Temple | Psychologist | 255 S 17th St, Philadelphia, PA 19103-6231 | 2020-10-13 |
| 1316400195 | Sara Morgen Mairs | Social Worker | 255 S 17th St, Philadelphia, PA 19103-6231 | 2019-04-09 |
| 1659807030 | Danielle Marie Siwek | Social Worker | 255 S 17th St, #1010, Philadelphia, PA 19103-6231 | 2017-05-04 |
| 1417481441 | Jenny Sandler | Social Worker | 255 S 17th St, Philadelphia, PA 19103-6231 | 2017-04-17 |
| 1801320262 | Melissa Dessereau LLC | Marriage & Family Therapist | 255 S 17th St, Philadelphia, PA 19103-6231 | 2017-04-12 |
| 1518498914 | Mary Chen | Marriage & Family Therapist | 255 S 17th St, Ste. 2200, Philadelphia, PA 19103-6231 | 2017-03-27 |
| 1710425640 | Zachary Holtzman-conston | Social Worker | 255 S 17th St, Philadelphia, PA 19103-6231 | 2017-02-11 |
| 1548707573 | Jade Logan | Psychologist | 255 S 17th St, Suite 2704, Philadelphia, PA 19103-6231 | 2017-01-29 |
| 1780136002 | Lisa Stepelevich | Counselor | 255 S 17th St, #2100, Philadelphia, PA 19103-6231 | 2016-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1083105654 | Shuai-chun Lin | Ophthalmology | 5401 Old York Rd Ste 205, Philadelphia, PA 19141-3044 | 2018-05-19 |
| 1285188383 | Imran Jivraj | Ophthalmology | 3737 Chestnut St, Apt 809, Philadelphia, PA 19104-7702 | 2016-08-08 |
| 1063851160 | Durga Borkar | Ophthalmology | 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 | 2013-06-21 |
| 1205275922 | Katherine Elizabeth Uyhazi | Ophthalmology | 3801 Filbert St Ste 515, Philadelphia, PA 19104 | 2013-06-15 |
| 1548605231 | Avni Umesh Badami | Ophthalmology | 51 N 39th St Ste 515, Philadelphia, PA 19104-2640 | 2013-05-08 |
| 1063755361 | Alison Blair Huggins Watson | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5109 | 2013-04-04 |
| 1447509807 | William Alan Raich | Ophthalmology | 210 Locust St, Apt. 19ab, Philadelphia, PA 19106-3934 | 2012-08-31 |
| 1780955575 | Collazo Ophthalmology & Optometry | Ophthalmology | 4231 N 5th St, Philadelphia, PA 19140-2602 | 2012-01-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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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.