Provider Demographics
NPI:1952410557
Name:HARRINGTON, SHAWN P (MD)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:P
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 1:458 OLD STREET ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458
Mailing Address - Country:US
Mailing Address - Phone:603-924-2144
Mailing Address - Fax:603-924-3993
Practice Address - Street 1:458 OLD STREET ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458
Practice Address - Country:US
Practice Address - Phone:603-924-2144
Practice Address - Fax:603-924-3993
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11247174400000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201462Medicaid
NH01Y003115NH02OtherANTHEM BCBS MCH
NH01Y003115NH03OtherANTHEM BCBS MOA
NH01Y003115NH03OtherANTHEM BCBS MOA
NHG61151Medicare UPIN