Provider Demographics
NPI:1295762854
Name:HARRINGTON, ELAINE M (MD)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:M
Last Name:HARRINGTON
Suffix:
Gender:F
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:PO BOX 8035
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-0035
Mailing Address - Country:US
Mailing Address - Phone:316-689-9135
Mailing Address - Fax:316-689-9102
Practice Address - Street 1:9211 E 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2968
Practice Address - Country:US
Practice Address - Phone:316-609-4400
Practice Address - Fax:316-634-4040
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23262208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS010820OtherBCBS
KS100137080AMedicaid
KS12149523OtherMULTIPLAN
KS16844OtherCOVENTRY
KS100303OtherHPK
KS2497OtherPHS
KS16844OtherCOVENTRY
KS12149523OtherMULTIPLAN