Provider Demographics
NPI:1619937448
Name:HARRINGTON, GEORGE D (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:D
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 S TELSHOR BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4907
Mailing Address - Country:US
Mailing Address - Phone:575-556-6440
Mailing Address - Fax:575-556-6445
Practice Address - Street 1:2530 S TELSHOR BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4907
Practice Address - Country:US
Practice Address - Phone:575-556-6440
Practice Address - Fax:575-556-6445
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4454207X00000X, 207XS0117X, 207XX0801X
NM2001-44207XP3100X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141674501Medicaid
NM00A8301Medicaid
NM900522525OtherMEDICARE GROUP
TX141674501Medicaid
NM00A8301Medicaid
TX86784KMedicare PIN
WVHA4221121Medicare PIN