| Kurt Gene Harris, MD | |
| 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | |
| (920) 746-9729 | |
| (920) 746-9881 | 
| Full Name | Kurt Gene Harris | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 228 S 18th Ave, Sturgeon Bay, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902859721 | NPI | - | NPPES | 
| 32318600 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 38763 (Wisconsin) | Primary | 
| Entity Name | United Medical Imaging Healthcare Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760572036 PECOS PAC ID: 0143311241 Enrollment ID: O20070803000169 | 
| Entity Name | California Medical Imaging Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821234899 PECOS PAC ID: 0446309983 Enrollment ID: O20090513000014 | 
| Entity Name | Los Robles Radiologic Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730157215 PECOS PAC ID: 0446319206 Enrollment ID: O20090523000001 | 
| Entity Name | Thousand Oaks Diagnostic Imaging Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629058466 PECOS PAC ID: 6305983669 Enrollment ID: O20091020000259 | 
| Entity Name | Southwest Diagnostic Imaging Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20130227000152 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kurt Gene Harris, MD 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 Ph: (920) 746-9729 | Kurt Gene Harris, MD 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 Ph: (920) 746-9729 |