Dr. Sean Harris
Sean Harris · Family Medicine

Address: 23077 Greenfield Rd, Suite 195, Southfield, MI 48075-3710
Phone: 2484230700

Dr. Sean Harris (NPI# 1457465213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1457465213
Entity Type Individual
Full Name Dr. Sean Harris
Other Name Sean Harris
Credential M.D.
Gender Male
Practice Address 23077 Greenfield Rd
Suite 195
Southfield
MI 48075-3710
Practice Telephone 2484230700
Practice Fax Number 2484230707
Mailing Address 23077 Greenfield Rd
Suite 195
Southfield
MI 48075-3709
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-18
Last Update Date 2012-03-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 4301078539 MI

Other Provider Identifier

State Identifier Issuer Type Code
MI 45051470-10 MEDICAID

Other Providers SEAN HARRIS

NPI Name Taxonomy Address Enumeration
1558328492 Sean M Harris Internal Medicine 1830 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103-4014 2006-04-26
1396227781 Sean Patrick Harris Behavior Technician 1855 2nd St Ste B, Concord, CA 94519-2623 2018-08-31
1285123315 Sean Reed Harris Counselor 333 N Dobson Rd Ste 15, Chandler, AZ 85224-4412 2018-05-03
1194222976 Sean Edmund Harris Student in an Organized Health Care Education/Training Program 300 Pasteur Dr, Stanford, CA 94305-2200 2018-04-09
1316495948 Sean Harris Counselor 233 Baseline Rd, La Verne, CA 91750-2353 2016-09-12
1346616554 Sean Brian Harris Counselor 222 Se 8th Ave, 212, Hillsboro, OR 97123 2015-08-12
1356696942 Sean Lelen Harris Nurse Practitioner 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 2012-07-19
1538301593 Sean C Harris Social Worker 1216 Arch St, 6th Floor, Philadelphia, PA 19107-2835 2009-04-06
1275661100 Sean Harris Social Worker 2610 Industry Way, Suite A, Lynwood, CA 90262-4283 2007-03-01
1508897802 Sean Harris Social Worker 1132 Westfield St, West Springfield, MA 01089-3878 2006-07-05

Physician Overview

NPI 1457465213
PAC ID by PECOS 8820036205
Professional Enrollment ID I20060315000143
Full Name Sean Harris
Organization Legal Name PAVILION FAMILY PRACTICE PC
Phone Number 2484230700
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF OHIO
Graduation Year 1996
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1759329113
Number of Group Practice Members 2
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230165 ST JOHN HOSPITAL AND MEDICAL CENTER
230019 PROVIDENCE HOSP AND MED CTRS

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_238_1 Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 23%

Office Location

Street Address 23077 GREENFIELD RD
SUITE 195
City SOUTHFIELD
State MI
Zip Code 48075-3710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326036849 Thomas M Flake Jr. Surgery 23077 Greenfield Rd, Suite 445, Southfield, MI 48075-3709 2005-10-10
1366976375 Legarius Internal Medicine 23077 Greenfield Rd, Ste156, Southfield, MI 48075-3709 2017-04-17
1972954865 Caitlyn Crawford Nurse Anesthetist, Certified Registered 23077 Greenfield Rd, Southfield, MI 48075-3709 2016-06-22
1154776003 Karen Alyse Waldrop Counselor 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3709 2016-04-28
1336510072 Nephro-care M.d.,plc Internal Medicine 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 2015-10-07
1063880359 Gasper Novara Social Worker 23077 Greenfield Rd, #430, Southfield, MI 48075-3709 2015-09-03
1235513623 Greenfield Medical Orthopedic Pllc Clinic/Center 23077 Greenfield Rd, Suite 159, Southfield, MI 48075-3709 2015-07-15
1649651332 Comprehensive Clinical Neurology Specialist 23077 Greenfield Rd, 222, Southfield, MI 48075-3709 2015-06-18
1548640766 Pilltalk Pharmacy Pharmacy 23077 Greenfield Rd, 220, Southfield, MI 48075-3709 2015-06-03
1679987424 Infectious Diseases Consultants of Detroit PC Internal Medicine 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 2014-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
1952817389 With Mom In Mind,llc Public Health or Welfare 18501 West Mile Road, Southfield, MI 48075 2017-12-21
1275046047 Katurah Rice Nurse Practitioner 23077 Greenfield Rd Ste 156, Southfield, MI 48075 2017-11-14
1427576636 Comfort Care Center Corp Internal Medicine 15565 Northland Dr E Ste 204, Southfield, MI 48075 2017-09-07
1609390806 Ankita Dubey Student in an Organized Health Care Education/Training Program 1600 West Nine Mile Road, Southfield, MI 48075 2017-07-29
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174031942 Providence Homecare Providers Pllc Family Medicine 25511 Southfield Rd Ste 118, Southfield, MI 48075-1830 2018-01-16
1194104885 Lorenzo Ray Mata Lim Family Medicine 23077 Greenfield Rd Ste 195, Southfield, MI 48075-3750 2015-05-27
1225423031 Natakki Wheatley Family Medicine 23832 Southfield Rd, Southfield, MI 48075 2015-03-30
1194147959 Premier Family Medicine Pllc Family Medicine 23031 Wrexford Dr, Southfield, MI 48033-6575 2014-01-14
1306195730 Southfield Family Practice Pllc Family Medicine 22972 Lahser Road, Southfield, MI 48033 2012-08-30
1760745434 Latoya Tamara Austin Family Medicine 22250 Providence Dr Ste 557, Southfield, MI 48075-4825 2012-06-19
1508124082 Thomas Mays Md, PC Family Medicine 20905 Greenfield Rd Ste 201, Southfield, MI 48075-5346 2012-05-02
1457644163 Associated Medical Inc Family Medicine 17100 W 12 Mile Rd, Suite 1, Southfield, MI 48076-2115 2011-05-27
1093010332 Jennifer A. Winegarden D.o., P.C. Family Medicine 24400 Inkster Rd, Southfield, MI 48033-2869 2011-01-18
1831413749 Sylmara E. Chatman M.d. P.C. Family Medicine 17603 W 10 Mile Rd, Southfield, MI 48075-2756 2010-03-22
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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