Healthcare Provider Details

I. General information

NPI: 1013595941
Provider Name (Legal Business Name): HANNAH HARRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 W 10TH AVE
COLUMBUS OH
43210-1280
US

IV. Provider business mailing address

891 INGLESIDE AVE APT 321
COLUMBUS OH
43215-0139
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-6194
  • Fax:
Mailing address:
  • Phone: 380-222-4322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0076627
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: