CHARLES F HARRIS PA NPI 1386780237

NPI Information

NPI: 1386780237
Provider Name: CHARLES F HARRIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
982 W. BROADWAY
JACKSON, WY
ZIP 83002
Phone: (307) 733-8002
Get Directions

Charles F Harris, PA is a medical physician assistant in Jackson, WY. Charles F Harris, PA NPI is 1386780237. 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:

982 W. BROADWAY
JACKSON, WY
ZIP 83002
Phone: (307) 733-8002
Fax: (307) 733-0032

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/26/2007.

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
1	363AS0400X	Physician Assistant	Surgical	76	WYOMING	No
2	363AM0700X	Physician Assistant	Medical	76	WYOMING	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	109651600	MEDICAID	WYOMING
2	W306748	MEDICARE PIN	WYOMING
3	R04584	MEDICARE UPIN	WYOMING
4	W307446	MEDICARE PIN	WYOMING

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: 11/14/2023

NPI Synchronization or Removal

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