Active NPI
Scarlet Barron, EXERCISE PHYSIOLOGYS
- General Practice Physician
- Park Hills, MO
National Provider Identifier
1083184667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 794002
- Practice address
- 223 W. Main St.
Park Hills, MO 63601 - Phone
- (573) 631-8978
- NPI assigned
- Nov 27, 2018
- Last updated
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 794002 | MO | Primary |
Addresses
Primary practice location
223 W. Main St.
Park Hills, MO 63601
Mailing address
801 Towle St
Potosi, MO 63664
Phone (573) 631-8978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 794002 | MO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1083184667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 TOWLE ST",
"city": "POTOSI",
"state": "MO",
"postal_code": "63664",
"telephone_number": "573-631-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W. MAIN ST.",
"city": "PARK HILLS",
"state": "MO",
"postal_code": "63601",
"telephone_number": "573-631-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "SCARLET",
"credential": "EXERCISE PHYSIOLOGYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "794002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Hills, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.