DR. TYLER JAMES HARRIS (NPI# 1962799460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962799460 |
| Entity Type | Individual |
| Full Name | DR. TYLER JAMES HARRIS |
| Credential | MD |
| Practice Address |
1510 12th Ave Rd Ste 100 Nampa ID 83686 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 2084981333 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M-12361 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD180078 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301099332 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Monroe Ave Nw, Grand Rapids, MI 495031455 | 6167326200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233441 | Tyler Harris | Student in an Organized Health Care Education/Training Program | 13001 East 17 Th Place, Aurora, CO 80045-2581 | 2020-04-06 |
| 1669865754 | Tyler Harris | Specialist/Technologist | 1401 Presque Isle Ave Apt 111, Marquette, MI 49855-2818 | 2015-03-12 |
| 1164839510 | Tyler Harris | Pharmacist | 11880 28th St N Ste 100, St Petersburg, FL 33716-1824 | 2014-07-17 |
| 1265439103 | Tyler Elliott Harris | Orthopaedic Surgery | 1201 Alhambra Blvd, Sacramento, CA 95816-5243 | 2005-07-07 |
| 1104448869 | Tyler Harris | Behavior Technician | 4105 N Walnut St, Muncie, IN 47303-5904 | 2020-05-15 |
| 1073167524 | Tyler Harris | Physical Therapy Assistant | 20270 E Smoky Hill Rd, Centennial, CO 80015 | 2019-08-01 |
| 1073003646 | Tyler Duane Harris | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104 | 2018-05-18 |
| 1700129004 | Tyler Van Harris | Counselor | 2655 Ashmun St, Sault Sainte Marie, MI 49783-3711 | 2013-04-04 |
| 1043535826 | Tyler Hutchison Harris | Pediatrics | 4401 Penn Ave, Pediatric Cardiology - Third Floor, Pittsburgh, PA 15224-1334 | 2010-04-05 |
| 1275794935 | Tyler J Harris | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2008-06-24 |
| Street Address |
1510 12TH AVE RD STE 100 |
| City | NAMPA |
| State | ID |
| Zip Code | 83686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438833 | Cep America, LLC | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686-6008 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104851 | Cep America, LLC | Emergency Medicine | 4300 E. Flamingo Ave, Nampa, ID 83687-9203 | 2017-06-21 |
| 1336372515 | Lauren Beth Gibson | Emergency Medicine | 4424 E Flamingo Avet, Ste 110, Nampa, ID 83687 | 2009-09-03 |
| 1013094820 | Ann M Weiss | Emergency Medicine | 700 Caldwell Blvd, Primary Health Medical Group, Nampa, ID 83651-1707 | 2006-11-01 |
| 1558307280 | John Mullins | Emergency Medicine | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2006-06-21 |
| 1093368961 | Dispatchhealth-idaho PC | Emergency Medicine | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2019-07-19 |
| 1982064192 | Cep America, LLC | Emergency Medicine | 4300 E Flamingo Ave, Nampa, ID 83687-9203 | 2016-03-01 |
| 1629438833 | Cep America, LLC | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686-6008 | 2016-03-01 |
| 1801074232 | Elizabeth A Davis | Emergency Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2008-02-07 |
| 1174745582 | Richard C Ballantyne | Emergency Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2007-05-03 |
| 1588724512 | Idaho Em-i Medical Services PC | Emergency Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2006-12-11 |
| Find all providers in NAMPA | ||||
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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.