Provider Demographics
NPI:1174598163
Name:HARRINGTON, EDWIN DEXTER (MD)
Entity type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:DEXTER
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 1:1431 PREMIER DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6076
Mailing Address - Country:US
Mailing Address - Phone:507-386-6600
Mailing Address - Fax:507-625-5971
Practice Address - Street 1:1431 PREMIER DRIVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001
Practice Address - Country:US
Practice Address - Phone:507-386-6600
Practice Address - Fax:507-625-5971
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD22995207X00000X
MN38198207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0900621OtherMEDICA, SPRINGFIELD
MN0900621OtherMEDICA, SPRINGFIELD HOSP
MN122667C572OtherUCARE MN
MN469527500Medicaid
MN0900372OtherMEDICA, REDWOOD FALLS
MNHP32825OtherHEALTH PARTNERS
MN983181023040OtherPREFERRED ONE
MN0900371OtherMEDICA, MANKATO
MN410940705H019OtherTRICARE/WPS
MN70B29HAOtherBCBS OF MN
MN0900372OtherMEDICA, REDWOOD FALLS
MN200001726Medicare ID - Type UnspecifiedMEDICARE
MN200040373Medicare ID - Type UnspecifiedPALMETTO GBA, RR MC