1528276284 NPI number — DR. MATTHEW QUIN BARFIELD D.O.

Table of content: DR. MATTHEW QUIN BARFIELD D.O. (NPI 1528276284)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528276284 NPI number — DR. MATTHEW QUIN BARFIELD D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARFIELD
Provider First Name:
MATTHEW
Provider Middle Name:
QUIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

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 Information

NPI Number:
1528276284
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1469
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASCAGOULA
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39568-1469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
228-928-0699
Provider Business Mailing Address Fax Number:
228-938-0601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4105 HOSPITAL ST
Provider Second Line Business Practice Location Address:
SUITE 112B
Provider Business Practice Location Address City Name:
PASCAGOULA
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39581-5312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
228-938-0700
Provider Business Practice Location Address Fax Number:
228-938-0705
Provider Enumeration Date:
05/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2081P2900X , with the licence number:  21401 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2081P2900X , with the licence number: DO1065 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X , with the licence number: DO1065 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X , with the licence number: 21401 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 05472883 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 302I259070 . This is a "NOVITAS MISSISSIPPI MEDICARE" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".
  • Identifier: 102I260665 . This is a "CAHABA MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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