MARIEL ANN HARRIS MD NPI 1588871875

NPI Information

NPI: 1588871875
Provider Name: MARIEL ANN HARRIS, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
ONE DAVID N MYERS PARKWAY
BEACHWOOD, OH
ZIP 44122
Phone: (216) 910-2641
Get Directions

Mariel Ann Harris, MD is a geriatric medicine internal medicine in Beachwood, OH. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Mariel Ann Harris, MD NPI is 1588871875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

ONE DAVID N MYERS PARKWAY
BEACHWOOD, OH
ZIP 44122
Phone: (216) 910-2641
Fax: (216) 910-2777

The NPI 1588871875 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 enumeration date for this NPI number is 5/17/2007 and was last updated on 1/21/2013.

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	207R00000X	Internal Medicine		33055569	OHIO	No
2	207QG0300X	Family Medicine	Geriatric Medicine	35-055569	OHIO	No
3	207RG0300X	Internal Medicine	Geriatric Medicine	22992	CONNECTICUT	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	Other Provider Identifier Issuer
1	4320316	OTHER	OHIO	AETNA #
2	751150	OTHER	OHIO	BUCKEYE #
3	414975	OTHER	OHIO	WELLCARE #
4	C03263	MEDICARE UPIN	OHIO
5	P00432289	OTHER	OHIO	RAILROAD MEDICARE
6	0679663	MEDICAID	OHIO
7	HA0604743	MEDICARE PIN	OHIO
8	MA0604742	MEDICARE ID-TYPE UNSPECIFIED	OHIO
9	000000225049	OTHER	OHIO	UNISON #
10	000000537785	OTHER	OHIO	ANTHEM #

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

NPI Synchronization or Removal

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