Healthcare Provider Details

I. General information

NPI: 1053357400
Provider Name (Legal Business Name): JAMES E HARRINGTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 02/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 N VAN BUREN ST A
ENID OK
73703-1729
US

IV. Provider business mailing address

5300 N INDEPENDENCE AVE 280
OKLAHOMA CITY OK
73112-5556
US

V. Phone/Fax

Practice location:
  • Phone: 580-213-9799
  • Fax: 580-234-2474
Mailing address:
  • Phone: 580-213-9799
  • Fax: 580-234-2474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number05-23238
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number1842
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: