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JACOB TERRY HARRIS MD
NPI 1306596341
Student in an Organized Health Care Education/Training Program in Scottsdale, AZ

Active since March 24, 2022PECOS Enrolled
7400 E THOMPSON PEAK PKWY, SCOTTSDALE, AZ 85255(480) 882-7580(480) 563-7442 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Terry Harris Md NPPES

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

JACOB TERRY HARRIS MD (NPI 1306596341) is an individual student in an organized health care education/training program in Scottsdale, Arizona and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1306596341
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB TERRY HARRISCredential: MD
Location Address7400 E THOMPSON PEAK PKWYScottsdale, AZ 85255-4109
Mailing Address7400 E Thompson Peak PkwyScottsdale, AZ 85255-4109 · (480) 882-7580 · Fax (480) 563-7442
Phone(480) 882-7580
Fax(480) 563-7442
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1306596341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7400 E THOMPSON PEAK PKWY, Scottsdale, AZ 85255
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Secondary Practice Location 1

Location 114000 Fivay RdHudson, FL 34667-7103 · Phone (727) 819-2966 · Fax (727) 819-2928

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Terry Harris Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SARAH LEE CHAMBERLAIN DO
Internal Medicine
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (623) 580-5800
SCOTTSDALE EMERGENCY ASSOCIATES, LTD.
Emergency Medicine
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (954) 939-5000
DR. MARK SHOUKRY MD
Internal Medicine
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (480) 324-7398
DR. GINA M CONFLITTI M.D.
Internal Medicine
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (480) 324-7004
DR. PETER M PARKER MD
Internal Medicine
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (602) 445-0751
MARY GOMEZ
Student in an Organized Health Care Education/Training Program
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (480) 324-7215
DR. KARA L ASBURY MD
Dermatology
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (480) 454-4185
TIMOTHY AMIN RAISSIAN M.D.
Emergency Medicine
7400 E THOMPSON PEAK PKWY
SCOTTSDALE, AZ 85255
Maricopa County (480) 587-5493

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Harris's NPI number?

The NPI number for Jacob Harris is 1306596341. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Jacob Harris located?

Jacob Harris practices at 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255. The listed phone number is (480) 882-7580.

What is Jacob Harris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Harris enrolled in Medicare?

Yes. Jacob Harris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Harris was last updated on June 27, 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.