Provider Demographics
NPI:1336414671
Name:HARRINGTON, NATHAN TIMOTHY (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:TIMOTHY
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NATHAN
Other - Middle Name:TIMOTHY
Other - Last Name:HARRINGTON-FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3194 CORE RD
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-1556
Mailing Address - Country:US
Mailing Address - Phone:304-485-5185
Mailing Address - Fax:304-485-0051
Practice Address - Street 1:3194 CORE RD
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-1556
Practice Address - Country:US
Practice Address - Phone:304-485-5185
Practice Address - Fax:304-485-0051
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV270722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program