DR. RODERICK EDWARD HARRIS (NPI# 1801089727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801089727 |
| Entity Type | Individual |
| Full Name | DR. RODERICK EDWARD HARRIS |
| Credential | M.D. |
| Practice Address |
315 Mercy Ave Ste 400 Merced CA 95340-8368 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 2095643700 |
| Practice Fax Number | 2095643799 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C39701 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356807200 | Roderick Lavelle Harris Jr. | Counselor | 2704 Shed Rd Apt 234e, Bossier City, LA 71111-3036 | 2019-02-15 |
| 1083188627 | Roderick Tirell Harris Sr. | Non-emergency Medical Transport (VAN) | 6117 Cushing St, Suffolk, VA 23435-3440 | 2019-01-16 |
| 1013246644 | Roderick Mashun Harris | Developmental Therapist | 3061 Adiron Way, Tallahassee, FL 32317-7484 | 2009-12-10 |
| 1780646018 | Roderick Owen Harris | Obstetrics & Gynecology | 681 Medical Center Dr W, Suite #101, Clovis, CA 93611-6803 | 2006-04-03 |
| Street Address |
315 MERCY AVE STE 400 |
| City | MERCED |
| State | CA |
| Zip Code | 95340-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710092481 | Robert J Butler | Internal Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2006-08-20 |
| 1194358309 | Varinder Kumar Sablok | Nurse Practitioner | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2020-02-16 |
| 1346635430 | Kenia Imani Edwards | Family Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2015-04-06 |
| 1760747398 | Nadir Edmon Adam | Surgery | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2012-07-10 |
| 1487950523 | Dignity Health Medical Foundation | Clinic/Center | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2011-02-08 |
| 1699929042 | Julianah Adenike Olabode | Nurse Practitioner | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2008-11-12 |
| 1093979205 | Ibrahim W Azer | Surgery | 315 Mercy Ave Ste 400, Merced, CA 95340 | 2008-07-16 |
| 1649382698 | Dinesh Chhaganlal | Family Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340 | 2006-08-31 |
| 1770693137 | Joanne Francis Spalding | Family Medicine | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407761 | Michael John Sullivan | Urology | 378 W Olive Ave, # C, Merced, CA 95348 | 2006-08-22 |
| 1447270921 | Merced Urology Medical Group, Inc. | Urology | 900 W Olive Ave Ste A, Merced, CA 95348-2401 | 2006-07-20 |
| 1861685786 | Dennis Stephen Cesar | Urology | 900 W Olive Ave Ste A, Merced, CA 95348-2401 | 2007-08-23 |
| 1033164793 | Mark S Samberg | Urology | 315 Mercy Ave, Ste 400, Merced, CA 95340-8363 | 2006-05-23 |
| 1104892611 | Arnaldo Francesco Trabucco | Urology | 220 E 13th St, Merced, CA 95341-6250 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
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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.