Basic Information
| Provider Information | |||||||||
| NPI: | 1538164199 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRINGTON | ||||||||
| FirstName: | CASSIE | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5241 BUFFALO RD | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165102391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148775100 | ||||||||
| FaxNumber: | 8148775121 | ||||||||
| Practice Location | |||||||||
| Address1: | 5241 BUFFALO RD | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165102391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148775100 | ||||||||
| FaxNumber: | 8148775121 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2005 | ||||||||
| LastUpdateDate: | 08/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD071009L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | P00170446 | 01 | PA | RR MEDICARE | OTHER | 0018600340005 | 05 | PA | MEDICAID | 02175331 | 01 | NY | NY MEDICAL ASSISTANCE | OTHER | 1304473 | 01 | PA | BLUE SHIELD | OTHER | 00027091801 | 01 | NY | UNIVERA | OTHER | 159494 | 01 | PA | UNISON | OTHER | 302649 | 01 | PA | UPMC | OTHER | 2256400 | 01 | OH | OH MEDICAL ASSISTANCE | OTHER | 3729974 | 01 | PA | AETNA | OTHER | P002277 | 01 | PA | GATEWAY | OTHER |