MEDICARE: DR. JOHN DAVID HARRINGTON MD

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	208600000X	Surgery Physician	2021003878	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	I31852	OTHER	UPIN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992729156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DAVID HARRINGTON MD

Provider Business Mailing Address
First Line	:	6731 HIGHWAY AU
Second Line	:
City	:	HOUSTON
State	:	MO
Zip	:	65483-2113
Country	:	US
Telephone Number	:	417-321-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	6731 HIGHWAY AU
Second Line	:
City	:	HOUSTON
State	:	MO
Zip	:	65483-2113
Country	:	US
Telephone Number	:	417-321-0064
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	03/14/2025

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