Provider Demographics
NPI:1427069897
Name:HARRIS, ELEANOR E (MD)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:E
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8423
Mailing Address - Street 2:NEWCO CANCER SERVICES
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27835-8423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3951
Practice Address - Fax:216-826-3989
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-020712085R0001X
OH35.1328952085R0001X
FLME964872085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5922052Medicaid
NC3240404OtherCIGNA
FL56336OtherBLUE CROSS BLUE SHIELD
NC175KXOtherBCBS
FL276107600Medicaid
NCP01619310OtherRR MEDICARE
FLG42296Medicare UPIN
NC3240404OtherCIGNA
NC5922052Medicaid
FLU8247ZMedicare PIN
NCNC9649F503Medicare PIN