MEDICARE: DR. GREGORY S. HARRINGTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E-0445	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16552000040	OTHER	AR	QUALCHOICE
2	7634110	OTHER	AR	AETNA
3	344253	OTHER	AR	HEALTHLINK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457459182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY S. HARRINGTON M.D.

Provider Business Mailing Address
First Line	:	904 AUTUMN RD STE 500
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-3738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2508 CRESTWOOD RD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7623
Country	:	US
Telephone Number	:	501-758-2294
Fax Number	:	501-758-7877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	05/21/2008

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