MARCUS HARRIS (NPI# 1942469135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942469135 |
| Entity Type | Individual |
| Full Name | MARCUS HARRIS |
| Credential | PA-C |
| Practice Address |
13949 Artesian St Detroit MI 48223-2915 |
| Practice Telephone | 7343554419 |
| Mailing Telephone | 7343554419 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005141 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905608 | Marcus Harris | Dietitian, Registered | 9630 Us Highway 301 S, Riverview, FL 33578-5442 | 2019-01-08 |
| 1679044572 | Marcus Harris | Behavior Technician | 708 N 19th St, Copperas Cove, TX 76522-1201 | 2018-12-17 |
| 1851827224 | Marcus Harris | Behavioral Analyst | 644 E. Jefferson, Bastrop, LA 71220-4947 | 2017-05-04 |
| 1245540129 | Marcus Duane Harris | Licensed Practical Nurse | 3813 Toledo Ave, Lorain, OH 44055-2329 | 2010-10-13 |
| 1982837464 | Marcus Lavelle Harris | Internal Medicine | 10701 Vintage Preserve Parkway, 982055 Nebraska Medical Center, Houston, TX 77070-2126 | 2009-08-31 |
| 1952921900 | Marcus Harris | Massage Therapist | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-20 |
| 1881184422 | Marcus William Harris | Specialist/Technologist | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2018-05-17 |
| 1053847541 | Marcus Harris | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-05-03 |
| 1508104472 | Marcus Lydell Harris | Occupational Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2013-01-28 |
| 1336377472 | Marcus Harris | Family Medicine | 1522 E A St, Casper, WY 82601-2217 | 2009-06-28 |
| Street Address |
13949 ARTESIAN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881822187 | Shea Mace | Physician Assistant | 6799 West Grand Blvd, Detroit, MI 48202 | 2009-06-24 |
| 1316135379 | Clifford N Owhor | Physician Assistant | 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 | 2007-10-04 |
| 1720513435 | Olivia Luisa Rojas | Physician Assistant | 2799 W Grand Blvd, Clinic K, 11th Floor, Detroit, MI 48202-2608 | 2017-05-01 |
| 1043760754 | Nicholas Joseph Michel | Physician Assistant | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2016-10-05 |
| 1013387174 | Sybrena Evans | Physician Assistant | 3901 Beaubien St, Detroit, MI 48201-2119 | 2015-10-01 |
| 1639574494 | Matthew Scott Mckay | Physician Assistant | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2014-10-22 |
| 1922348184 | Carleta Poydras | Physician Assistant | 6071 W Outer Dr, Joint Excel Plus Orthopedic Clinic, Detroit, MI 48235-2624 | 2013-02-26 |
| 1801162532 | Jodi Iacco | Physician Assistant | 22201 Moross Rd, Professional Building 1 Suite 132, Detroit, MI 48236-2169 | 2012-03-27 |
| 1053681221 | Brenna Rae Mell | Physician Assistant | 3901 Beaubien St, Children's Hospital of Michigan, Neurosurgery Dept, Detroit, MI 48201-2119 | 2012-01-05 |
| Find all providers in DETROIT | ||||
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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.