Provider Demographics
NPI:1497847982
Name:HARRIS, JOHN MCARTHUR III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MCARTHUR
Last Name:HARRIS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 SOUTH HUNTINGTON AVENUE (112)
Mailing Address - Street 2:DVA BOSTON HEALTHCARE SYSTEM
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:617-232-9500
Mailing Address - Fax:857-364-2033
Practice Address - Street 1:150 SOUTH HUNTINGTON AVENUE (112)
Practice Address - Street 2:DVA BOSTON HEALTHCARE SYSTEM
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:617-232-9500
Practice Address - Fax:857-364-2033
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-08-13
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Provider Licenses
StateLicense IDTaxonomies
MA32488207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2036675Medicaid
RIJH16610Medicaid
MA2036675Medicaid