1528053527 NPI number — DR. RICHARD D BARKER MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528053527 NPI number — DR. RICHARD D BARKER MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

BARKER

Provider First Name:

RICHARD

Provider Middle Name:

D

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1528053527

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/28/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

970 W WOOSTER ST

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BOWLING GREEN

Provider Business Mailing Address State Name:

OH

Provider Business Mailing Address Postal Code:

43402-2643

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

970 W WOOSTER ST

Provider Second Line Business Practice Location Address:

BOWLING GREEN ORTHOPAEDICS SUITE #222

Provider Business Practice Location Address City Name:

BOWLING GREEN

Provider Business Practice Location Address State Name:

OH

Provider Business Practice Location Address Postal Code:

43402-2643

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

419-352-1519

Provider Business Practice Location Address Fax Number:

419-352-7004

Provider Enumeration Date:

09/15/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207X00000X , with the licence number:  35037974 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207XS0106X , with the licence number: 35037974 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207XX0004X , with the licence number: 35037974 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207XX0005X , with the licence number: 35037974 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 4315847 . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 000000027491 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 16460001 . This is a "ADMINISTAR/DMERC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 953200 . This is a "AETNA HMO" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 153778 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 0367544 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
• Identifier: 200027236 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 01807 . This is a "PARAMOUNT HEALTHCARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".