Individual provider Active NPI

Steven James Barker Jr., PA-C

  • Physician Assistant
  • Taylorsville, UT
National Provider Identifier
1083387732
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12543868-1206 Issued in UT
Practice address
5360 S 2700 W
Taylorsville, UT 84129-1524
Phone
(801) 996-9760
NPI assigned
Jul 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 12543868-1206 UT Primary

Addresses

Primary practice location

5360 S 2700 W
Taylorsville, UT 84129-1524

Mailing address

322 SE 44TH Ave
Ocala, FL 34471-3246
Phone (352) 239-3000

Other identifiers 1

IdentifierTypeStateIssuer
12543868-1206OtherUTUTAH PHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117003326 UT Practitioner - Physician Assistant 1658760392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Medical Group-St. Marks Hospital LLCGroup PAC ID 1557443322, 13 clinicians

Practice addresses (Care Compare)

5360 S 2700
Taylorsville, UT 84129-1524
Phone (801) 996-9761

8846 S Redwood Rd
121 Jordan Family Health
West Jordan, UT 84088-9334
Phone (801) 569-1999

Hospital & facility affiliations

  • Aspen Ridge Home Health Home health agency, Murray, UT, CCN 467220
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Bo Inc Single Specialty CurrentSince Nov 15, 2021 Accepting new patients
Ma Bo Inc Single Specialty CurrentSince Nov 15, 2021 Accepting new patients

Locations

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1083387732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 SE 44TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713246",
            "telephone_number": "352-239-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 S 2700 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291524",
            "telephone_number": "801-996-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12543868-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH PHYSICIAN ASSISTANT LICENSE",
            "identifier": "12543868-1206",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.