Provider Demographics
NPI: | 1053357400 |
---|---|
Name: | HARRINGTON, JAMES E (DO) |
Entity type: | Individual |
Prefix: | |
First Name: | JAMES |
Middle Name: | E |
Last Name: | HARRINGTON |
Suffix: | |
Gender: | M |
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: | 5300 N INDEPENDENCE AVE |
Mailing Address - Street 2: | 280 |
Mailing Address - City: | OKLAHOMA CITY |
Mailing Address - State: | OK |
Mailing Address - Zip Code: | 73112-5556 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 580-213-9799 |
Mailing Address - Fax: | 580-234-2474 |
Practice Address - Street 1: | 2821 N VAN BUREN ST |
Practice Address - Street 2: | A |
Practice Address - City: | ENID |
Practice Address - State: | OK |
Practice Address - Zip Code: | 73703-1729 |
Practice Address - Country: | US |
Practice Address - Phone: | 580-213-9799 |
Practice Address - Fax: | 580-234-2474 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-06-22 |
Last Update Date: | 2018-02-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KS | 05-23238 | 207X00000X |
OK | 1842 | 207X00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
KS | 022799 | Other | BLUE CROSS |
OK | P00711590 | Medicare PIN | |
KS | 022799 | Medicare PIN | |
KS | 022799 | Other | BLUE CROSS |
KS | D41516 | Medicare PIN | |
KS | 200028196 | Medicare PIN |