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Deactivated NPI 1508868050 Deactivated / Inactive NPI Male Practitioner

Dr. John P. Harris , DO

General Practice • Fairview, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Harris has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2005
NPI Deactivation Date February 18, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Harris, DO was a registered General Practice practicing in Fairview, OK. Throughout an active medical career spanning 14 years, Dr. Harris provided care at the practice location at 519 E STATE RD until profile deactivation on 2019-02-18.

Practice Location & Contact Primary Location

Practice Address

519 E State Rd

Fairview, OK 737371458

Telephone 5802272585
Fax 5802272882
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fairview, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Fairview, OK (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 1331

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Mary Bromlow , OT

Occupational Therapist

NPI 1134817687

Occupational Therapist

NPI 1437185667

Doctor of Osteopathic Medicine (D.O.)

Jerry Braziel , PA-C

Physician Assistant - Medical

NPI 1528462603

Physician Assistant (Certified)

Dr. Solomon Ali , MD

General Practice

NPI 1588666010

Doctor of Medicine (M.D.)

Larry Elliott

Family Medicine

NPI 1770933277
Raegan Dewilde

Physician Assistant - Medical

NPI 1780226084

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2019

Record deactivated on February 18, 2019

NPI Profile Active February 09, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2010

Registered at 519 E STATE RD, FAIRVIEW, OK 737371458 (Tel: 5802272585)

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Updated Business Mailing Address February 09, 2010

Registered at PO BOX 548, FAIRVIEW, OK 737370548 (Tel: 5802272585)

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Provider Name / Credentials Updated February 09, 2010

Recorded as JOHN HARRIS, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2010

General Practice (License #1331 in OK)

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Initial NPI Registration & Enumeration August 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508868050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: February 09, 2010
Deactivation Date: February 18, 2019

Mailing Address

Po Box 548

Fairview, OK 737370548

Phone: 5802272585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.