NPIMap

Organization Active NPI

Michael E. Barnes, MD

  • Family Medicine Physician
  • Wewahitchka, FL
National Provider Identifier
1053703629
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0065092 Issued in FL
Legal business name
MICHAEL E. BARNES, MD
Practice address
412 N Highway 71
Wewahitchka, FL 32465-4061
Phone
(850) 639-4036
Fax
(850) 639-9318
NPI assigned
Feb 19, 2015
Last updated
Feb 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Edward Barnes, M.DNPI 1942203625
Title
Owner
Phone
(850) 639-4036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0065092 FL Primary

Addresses

Primary practice location

412 N Highway 71
Wewahitchka, FL 32465-4061

Mailing address

412 N Highway 71
PO Box 160
Wewahitchka, FL 32465-4061
Phone (850) 639-4036

Other identifiers 3

IdentifierTypeStateIssuer
225536OtherFLSTAYWELL
378559900MedicaidFL
23728OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1053703629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N HIGHWAY 71",
            "address_2": "PO BOX 160",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654061",
            "telephone_number": "850-639-4036",
            "fax_number": "850-639-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N HIGHWAY 71",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654061",
            "telephone_number": "850-639-4036",
            "fax_number": "850-639-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. BARNES, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-639-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0065092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "225536",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378559900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23728",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewahitchka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.