Provider Demographics
NPI:1477664498
Name:HARRIS, JEFFREY GUY (DO)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GUY
Last Name:HARRIS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 STURMER STREET
Mailing Address - Street 2:
Mailing Address - City:BELINGTON
Mailing Address - State:WEST VIRGINIA
Mailing Address - Zip Code:26250
Mailing Address - Country:UM
Mailing Address - Phone:304-823-2800
Mailing Address - Fax:304-823-2703
Practice Address - Street 1:210 N STURMER ST
Practice Address - Street 2:
Practice Address - City:BELINGTON
Practice Address - State:WV
Practice Address - Zip Code:26250-9215
Practice Address - Country:US
Practice Address - Phone:304-823-2800
Practice Address - Fax:304-823-2703
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0813418Medicaid
WV0051348000Medicaid
OHHA4167861Medicare PIN
WVHA4101955Medicare PIN
WV0051348000Medicaid