Provider Demographics
NPI:1689610016
Name:HARRING, JAMES I (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:I
Last Name:HARRING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1734
Mailing Address - Street 2:UNIT C-1
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-1734
Mailing Address - Country:US
Mailing Address - Phone:301-934-9711
Mailing Address - Fax:301-934-3998
Practice Address - Street 1:201 CENTENNIAL ST.
Practice Address - Street 2:UNIT C-1
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-5967
Practice Address - Country:US
Practice Address - Phone:301-934-9711
Practice Address - Fax:301-934-3998
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052919207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2115427OtherALLIANCE
MDJ024 0001OtherBC/BS DC
MD185403800Medicaid
MD1353229OtherUNITED HEALTHCARE
MD54899309OtherBC/BS MD
MDP00155844OtherRAILROAD MEDICARE
MD1353229OtherUNITED HEALTHCARE
MDF15667Medicare UPIN