SCOTT W HARRIS C.R.N.A.
NPI 1215912209
Nurse Anesthetist, Certified Registered in Two Rivers, WI

Q: What is Scott Harris's NPI number?

The NPI number for Scott Harris is 1215912209. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Scott Harris's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Harris was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2005

5000 MEMORIAL DR, TWO RIVERS, WI 54241(920) 794-5000 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Dec 8, 2021 (2 updates tracked since 2021).

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About Scott W Harris C.r.n.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT W HARRIS C.R.N.A. (NPI 1215912209) is an individual nurse anesthetist, certified registered in Two Rivers, Wisconsin, licensed in Wisconsin (140025-030) and active in the NPI registry since December 2005. He maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1215912209

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSCOTT W HARRISCredential: C.R.N.A.

Location Address5000 MEMORIAL DRTwo Rivers, WI 54241-3900

Mailing AddressPo Box 735044Chicago, IL 60673-5044

Phone(920) 794-5000

Sole ProprietorNo

Enumeration DateDecember 13, 2005

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1215912209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 140025-030

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

5000 MEMORIAL DR, Two Rivers, WI 54241

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Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 445-7226 · Fax (920) 445-7289

Other Identifiers 2

Medicaid44308800WI

Other051052Crna Recertification Card

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW KLEIN

Physical Therapist (Orthopedic)