HOMER MCCOY HARRISON JR. (NPI# 1760523161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760523161 |
| Entity Type | Individual |
| Full Name | HOMER MCCOY HARRISON JR. |
| Credential | PA |
| Practice Address |
3663 Arch Rd Stockton CA 95215-8315 |
| Mailing Address |
2421 Grimsby Dr Antioch CA 94509-5866 |
| Practice Telephone | 2099432202 |
| Mailing Telephone | 9257782358 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10433 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3663 ARCH RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-8315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407654 | Josephine Lynne Nance | Physical Therapist | 3663 Arch Rd, St 400, Stockton, CA 95215-8315 | 2006-08-22 |
| 1720627656 | Jared Valenzuela | Acupuncturist | 3663 Arch Rd, Stockton, CA 95215-8315 | 2019-12-23 |
| 1902955859 | Bradley Donald Tourtlotte | General Practice | 3663 Arch Rd, Suite 400, Stockton, CA 95215-8315 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1154471779 | Natalie Collette Farnsworth | Psychologist | 7707 Austin Rd, Stockton, CA 95215 | 2007-01-12 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| Find all providers in zip 95215 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952875957 | Michelle Rose Abraham | Physician Assistant | 2633 Pacific Ave # 1, Stockton, CA 95204-4429 | 2019-01-14 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| 1932434404 | Noel Lena Moreno | Physician Assistant | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2009-10-16 |
| 1093987414 | Stanley Ray Cathey | Physician Assistant | 8719 Moreno Ct, Stockton, CA 95209-1843 | 2008-03-26 |
| 1881672517 | Melodee Lubag Millare | Physician Assistant | 73 W March Ln, Suite A, Stockton, CA 95207-5726 | 2006-01-04 |
| 1295264760 | Lisa Walterscheid | Physician Assistant | 1800 N California St, Stockton, CA 95204-6019 | 2017-06-08 |
| 1588108526 | Rose Havea Regan | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210-3149 | 2016-12-09 |
| 1699131110 | Cmc | Physician Assistant | 1801 E March Ln Ste D470, Stockton, CA 95210-6677 | 2016-01-13 |
| 1194195875 | Christopher Wayne Morales-phan | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2015-10-07 |
| 1366812273 | Jamie Jay Bible | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-10-05 |
| Find all providers in STOCKTON | ||||
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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.