Provider Demographics
NPI:1710941513
Name:HARRINGTON, ROBERT B (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
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 1:8638 OLD TROY PIKE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-0215
Mailing Address - Country:US
Mailing Address - Phone:937-237-9575
Mailing Address - Fax:937-237-9562
Practice Address - Street 1:8638 OLD TROY PIKE
Practice Address - Street 2:SUITE 103
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-0215
Practice Address - Country:US
Practice Address - Phone:937-237-9575
Practice Address - Fax:937-237-9562
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35072949H207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2134087Medicaid
OH0883314Medicare PIN
080183403Medicare PIN
OHG97864Medicare UPIN
OH0883313Medicare PIN