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 Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20130227000152 |
Entity Name | Advanced Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220302002290 |
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 |