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Keith Daniel Harris , PA-C

Physician Assistant β€’ Schofield Barracks, HI

Active NPI 1073894994 Individual Practitioner Male Practitioner
Practice location in NPPES

Building 683 Waianae Ave
Schofield Barracks, HI 96876

Call 8886832778 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Building 683 Waianae Ave

Schofield Barracks, HI 96876

Telephone 8886832778

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Schofield Barracks and Hawaii

6 active clinicians are listed under Physician Assistant with a practice address in Schofield Barracks, HI (387 in Hawaii).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Hawaii State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
NPI 1124366687

Doctor of Optometry

Dr. Sumi Akter , MD

Internal Medicine

NPI 1154107415

Doctor of Medicine (M.D.)

Elmer Amparo , NP

Nurse Practitioner - Family

NPI 1912499708

Nurse Practitioner

Dr. Mark Baldeshwiler , MD

Emergency Medicine

NPI 1215347489

Doctor of Medicine (M.D.)

Dr. Bryce Christensen , MD

Internal Medicine - Pulmonary Disease

NPI 1124651716

Doctor of Medicine (M.D.)

Dr. Jordan Gisseman , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1356877161

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 30, 2024

Registered at BUILDING 683 WAIANAE AVE, SCHOFIELD BARRACKS, HI 96876 (Tel: 8886832778)

πŸ“
Updated Business Mailing Address October 30, 2024

Registered at 4625 SCOTT LOOP, HONOLULU, HI 968183217 (Tel: 3047071358)

πŸ‘€
Provider Name / Credentials Updated October 30, 2024

Recorded as KEITH HARRIS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Physician Assistant

βœ…
NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 06, 2011

Registered at 32 BERYL CIR, PINEHURST, NC 283749128 (Tel: 9106840884)

πŸ“
Business Mailing Address (Initial Record) September 06, 2011

Registered at 32 BERYL CIR, PINEHURST, NC 283749128 (Tel: 9106840884)

πŸ‘€
Provider Name / Credentials (Initial Record) September 06, 2011

Recorded as KEITH HARRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Physician Assistant

🟒
Initial NPI Registration & Enumeration September 06, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073894994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2011
Last Update: October 30, 2024
Sole Proprietor: Yes

Mailing Address

4625 Scott Loop

Honolulu, HI 968183217

Phone: 3047071358

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.