| Dr Ted A Harris, MD | |
|
2301 South 65 Highway, Marshall, MO 65340-3702 | |
| (660) 886-6677 | |
| (660) 886-3346 |
| Full Name | Dr Ted A Harris |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2301 South 65 Highway, Marshall, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962467639 | NPI | - | NPPES |
| 124882 | Other | HEALTH ALLIANCE | |
| 421527584-19 | Other | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 22265 (Iowa) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2011010497 (Missouri) | Primary |
| Entity Name | Obhg Virginia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ted A Harris, MD 2301 South 65 Highway, Marshall, MO 65340-3702 Ph: (660) 886-6677 | Dr Ted A Harris, MD 2301 South 65 Highway, Marshall, MO 65340-3702 Ph: (660) 886-6677 |
David A Carr, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2305 South 65 Highway, Building A, Marshall, MO 65340 Phone: 660-886-6677 Fax: 660-831-3346 |
Dr. James H Kerns, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3346 |