CLINTON ERIC HARRIS (NPI# 1699927376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699927376 |
| Entity Type | Individual |
| Full Name | CLINTON ERIC HARRIS |
| Credential | PA-C |
| Practice Address |
125-1 Greentree Dr Dover DE 19904 |
| Mailing Address |
2697 Wild Turkey Rd Seaford DE 19973-5000 |
| Practice Telephone | 3026788333 |
| Practice Fax Number | 3026742298 |
| Mailing Telephone | 3026295790 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2009-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | C5-0000635 | DE | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0000635 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942415765 | Clinton Harris | Social Worker | 919 E 2nd St, Sanford, FL 32771-2101 | 2007-05-14 |
| 1417940321 | Clinton Lee Harris | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-08-25 |
| Street Address |
125-1 GREENTREE DR |
| City | DOVER |
| State | DE |
| Zip Code | 19904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346361 | Julia M Pillsbury | Pediatrics | 125-1 Greentree Dr, Dover, DE 19904 | 2005-12-14 |
| 1376528182 | Renee J Grob | Pediatrics | 125-1 Greentree Dr, Dover, DE 19904 | 2005-12-14 |
| 1801871629 | Lena Das | Pediatrics | 125-1 Greentree Dr, Dover, DE 19904 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790119923 | Sara Kay Proctor | Physician Assistant | 3228 San Jose Mission Dr, Dover, FL 33527-4746 | 2013-08-23 |
| 1003986837 | Erin Chudzik-pryor | Physician Assistant | 125 Greentree Dr # 1, Dover, DE 19904-7648 | 2006-11-09 |
| 1073698619 | Breckinridge Sievers Smith II | Physician Assistant | Kent General Hospital Emergency Department, 640 South State St., Dover, DE 19901 | 2006-10-25 |
| 1184643975 | Denise Anne Hanley Gagnon | Physician Assistant | 701 Central Ave, Dover, NH 03820-3403 | 2006-07-19 |
| 1275507915 | Paul Thomas Ciechoski | Physician Assistant | 175 Pickett Rd, Dover, PA 17315-3125 | 2006-02-16 |
| 1912559782 | Taras Yurchenko | Physician Assistant | 1100 Forrest Ave, Dover, DE 19904-3309 | 2019-07-11 |
| 1114410602 | Sierra Rose Palochak | Physician Assistant | 1113 S State St, Dover, DE 19901-4112 | 2018-06-11 |
| 1841783479 | Claire O'connell | Physician Assistant | 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 | 2018-06-08 |
| 1386135887 | Leland Davis IIi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-05-21 |
| 1962910604 | Desiree Villeneuve | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-01-16 |
| Find all providers in DOVER | ||||
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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.