Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Harris, PA-C

Individual provider Medical Physician Assistant · NPI 1598251142

Jonathan Harris, PA-C is a Physician Assistant in Goodyear, Arizona. Qualified in 2018, 8 years ago. Practices with Red Mountain Dermatology LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13657 W McDowell Rd Ste 207
Goodyear, AZ 85395-2603
Phone: (623) 748-9165
Fax: (623) 748-9734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 841 W 11th St, Mesa, AZ 85201-3109 — (480) 461-9822

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7109 (AZ)

Record details

NPI number1598251142
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address13657 W McDowell Rd Ste 207, Goodyear, AZ 85395-2603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Red Mountain Dermatology Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Goodyear