DR. ERIC BRENT HARRIS (NPI# 1962548016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962548016 |
| Entity Type | Individual |
| Full Name | DR. ERIC BRENT HARRIS |
| Credential | M.D. |
| Practice Address |
1909 Vista Dr Laramie WY 82070-5530 |
| Mailing Address |
34800 Bob Wilson Dr Department of Orthopaedics San Diego CA 92134-1098 |
| Practice Telephone | 3077458851 |
| Practice Fax Number | 3077420961 |
| Mailing Telephone | 6195328427 |
| Mailing Fax Number | 6195328467 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 11071A | WY | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD432120 | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 01053569A | IN | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A114325 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106251400 | 05 | |
| PA | IBC PA | 3317054000 | 01 |
| AETNA | 7558911 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 Chestnut St, Fifth Floor, Philadelphia, PA 191074216 | 2673393500 | 2155030580 |
| 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 |
1909 VISTA DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775862 | Stephen B Kaiser | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| 1962013433 | Teagan Young | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2020-08-10 |
| 1003393984 | Erena Hintsa | Physician Assistant | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-07-24 |
| 1669968848 | Rhiannan Kay Rubino | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2018-07-10 |
| 1497249981 | Heather Rose O'donnell | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-06-18 |
| 1316480478 | Michael Zelyez | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-11-22 |
| 1427418136 | Cinthy Carson | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-02-24 |
| 1447641717 | Rebecca Nordin | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2015-02-09 |
| 1437566908 | Amy Shepard | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2014-07-16 |
| 1427488279 | Torrie Irene | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795056 | Lawrence A Jenkins | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053476242 | Mary C Neal | Orthopaedic Surgery | 945 W Broadway, Jackson, WY 83001 | 2006-12-27 |
| 1376079962 | Rural Spine Care PC | Orthopaedic Surgery | 4401 College Dr, Rock Springs, WY 82901-3507 | 2017-05-03 |
| 1427168996 | W. Carlton Reckling | Orthopaedic Surgery | 800 E 20th St, Suite 300, Cheyenne, WY 82001-3859 | 2006-08-30 |
Please comment or provide details below to improve the information on DR. ERIC BRENT 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.