EVAN WYNNE HARRIS M.D. NPI 1255340865

NPI Information

  • NPI: 1255340865
  • Provider Name: EVAN WYNNE HARRIS, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 622 HEBRON AVE STE 103
    GLASTONBURY, CT
    ZIP 06033
  • Phone: (727) 452-8777

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NPI Details

Evan Wynne Harris, M.D. is a vascular and interventional radiology radiology in Glastonbury, CT with 38 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Evan Wynne Harris, M.D. NPI is 1255340865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1988

The provider's business location address is:

622 HEBRON AVE STE 103
GLASTONBURY, CT
ZIP 06033-003
Phone: (727) 452-8777

The NPI 1255340865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Strapping, unna boot (HCPCS:29580)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/3/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085P0229XRadiologyPediatric RadiologyME65745FLORIDANo
22085R0204XRadiologyVascular & Interventional Radiology0101257553VIRGINIANo
32085R0204XRadiologyVascular & Interventional Radiology53739CONNECTICUTYes

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: 11/21/2025

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