ERIC MICHAEL HARRIS (NPI# 1902068158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902068158 |
| Entity Type | Individual |
| Full Name | ERIC MICHAEL HARRIS |
| Credential | D.O. |
| Practice Address |
224 Memorial Medical Pkwy Suite 300 Daytona Beach FL 32117-5122 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Department Fort Myers FL 33916-2216 |
| Practice Telephone | 3862314060 |
| Practice Fax Number | 3866159119 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2014-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OS12441 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012392100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402290 | Eric Wotari Harris | Technician | 2128 35th Avenue North, Birmingham, AL 35207 | 2019-08-16 |
| 1669035549 | Eric Darmonique Harris | Contractor | 1801 Geffert Dr, Henrico, VA 23231-3924 | 2019-04-17 |
| 1396235503 | Eric A Harris | Psychologist | 138 Bedford Rd, Lincoln, MA 01773-2707 | 2018-05-14 |
| 1851708796 | Eric Harris | Dentist | 2792 S 5600 W Ste 100, West Valley, UT 84120-5590 | 2014-07-11 |
| 1750637369 | Eric Juan Harris Jr. | Counselor | 1900 Downing St, Oklahoma City, OK 73120-4906 | 2012-08-01 |
| 1487965158 | Eric Steven Harris | Dentist | 1619 Gilmer Ave, Tallassee, AL 36078-2313 | 2010-06-28 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1053931840 | Eric Vincent Harris | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-21 |
| 1568006450 | Eric Sam Harris | Behavioral Analyst | 4250 E. Florian Ave, Building 1 and 2, Mesa, AZ 85206 | 2019-11-04 |
| 1043591365 | Eric Ryan Harris | Optometrist | 4901 Forest Park Ave, 6th Fl, Saint Louis, MO 63108-1495 | 2011-08-31 |
| Street Address |
224 MEMORIAL MEDICAL PKWY SUITE 300 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285690529 | Karin P Bigman | Internal Medicine | 224 Memorial Medical Pkwy, Suite 300, Daytona Beach, FL 32117-5122 | 2006-04-25 |
| 1962854281 | Jennifer Robinson | Dietitian, Registered | 224 Memorial Medical Pkwy, Daytona Beach, FL 32117-5111 | 2016-07-11 |
| 1598119943 | Cindy Trawick | Nurse Practitioner | 224 Memorial Medical Pkwy, Daytona Beach, FL 32117-5111 | 2016-04-21 |
| 1063815421 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 224 Memorial Medical Pkwy, Suite 300, Daytona Beach, FL 32117-5122 | 2014-09-30 |
| 1821290362 | Mudussara Asad Khan | Internal Medicine | 224 Memorial Medical Pkwy, Suite 300, Daytona Beach, FL 32117-5122 | 2007-06-05 |
| 1457300014 | Florida Oncology Network Pa | Radiology | 224 Memorial Medical Pkwy, Daytona Beach, FL 32117-5122 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350548 | Murthy V Andavolu | Internal Medicine | 303 N Clyde Morris Blvd Fl 2, Daytona Beach, FL 32114-2709 | 2006-05-09 |
| 1285690529 | Karin P Bigman | Internal Medicine | 224 Memorial Medical Pkwy, Suite 300, Daytona Beach, FL 32117-5122 | 2006-04-25 |
| 1861627663 | Zafar Latif | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2009-05-21 |
| 1821290362 | Mudussara Asad Khan | Internal Medicine | 224 Memorial Medical Pkwy, Suite 300, Daytona Beach, FL 32117-5122 | 2007-06-05 |
| 1184726184 | Walter James Durkin | Internal Medicine | 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114-2709 | 2006-09-01 |
| 1013019918 | Richard Carl Weiss | Internal Medicine | 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114-2709 | 2006-09-01 |
| 1134221070 | Boon Yee Chew | Internal Medicine | 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114-2709 | 2006-09-01 |
| 1336241413 | Abdul Sorathia | Internal Medicine | 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114-2709 | 2006-09-01 |
| 1780786848 | Gregory Favis | Internal Medicine | 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114-2709 | 2006-09-01 |
| 1063525491 | Hhcsi Halifax Oncology | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-17 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on ERIC MICHAEL HARRIS.
| 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.