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DR. GLENN D HARRIS MD NPI 1194717736


NPI Information

NPI: 1194717736
Provider Name: DR. GLENN D HARRIS, MD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Address:
2150 HERBERT CT
ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
GREENVILLE, NC
ZIP 27834
Phone: (252) 744-5437
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DR. Glenn D Harris, MD is a pediatric critical care medicine pediatrics in Greenville, NC. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. DR. Glenn D Harris, MD NPI is 1194717736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2150 HERBERT CT
ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
GREENVILLE, NC
ZIP 27834-736
Phone: (252) 744-5437
Fax: (252) 744-1514

The enumeration date for this NPI number is 8/19/2005 and was last updated on 11/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care Medicine34620NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12166818CMEDICARE PINNORTH CAROLINA
2F15032MEDICARE UPINNORTH CAROLINA
339894OTHERNORTH CAROLINABCBS NC
4370015146OTHERNORTH CAROLINARAILROAD MEDICARE
58939894MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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