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 |