William Edris Barnes II, MD
Individual provider Active NPI General Practice Physician · Salem, KY
NPI 1215985148 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1215985148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 21949 (KY)
- Practice address
- 141 Hospital Dr Ste 102
Salem, KY 42078-8043 - Phone
- (270) 988-3298
- Fax
- (270) 988-4642
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 9
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Livingston Hospital and Healthcare Services, Inc.
Tri-Rivers Healthcare PLLC
Practice addresses (Care Compare)
131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-7208
141 Hospital Dr
Suite 102
Salem, KY 42078-8043
Phone (270) 988-3298
Hospital & facility affiliations
- Livingston Hospital and Healthcare Services, Inc
- Baptist Health Paducah
- Livingston Hospital and Healthcare Services, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 52 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 246 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Livingston Hospital and Healthcare |
Hospital | Corporate Director | May 1, 1986 |
| Livingston Hospital and Healthcare Services, Inc. |
Hospital | Corporate Director | May 1, 1986 |
| Grand Lakes Clinic |
Rural health clinic | Corporate Director | May 1, 1986 |
| Marion Physisicans Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Director (100%) |
Feb 25, 2008 Feb 25, 2008 |
| Smithland Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director |
Feb 25, 2008 Feb 25, 2008 |
| Salem Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director |
Feb 25, 2008 Feb 25, 2008 |
| Eddyville Family Medical |
Rural health clinic | Corporate Director | May 1, 1986 |
| Livingston Hospital and Healthcare Services, Inc. |
Rural health clinic | Corporate Director | May 1, 1986 |
| Livingston Hospital Family Clinic |
Rural health clinic | Corporate Director | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100513000387 | KY | Practitioner - General Practice |
3476643057 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21949 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Rivers Healthcare PLLC | Surgery | Current |
Accepting new patients |
| Livingston Hospital and Healthcare Services, Inc. | Current |
Accepting new patients | |
| Tri-Rivers Healthcare PLLC | Surgery | Current |
Accepting new patients |
| Livingston Hospital and Healthcare Services, Inc. | Current | Accepting new patients | |
| Family Practice Clinic PSC | Current | Accepting new patients | |
| Tri-Rivers Healthcare PLLC | Surgery | Current | Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Current |
Accepting new patients | |
| Livingston Hospital and Healthcare Services, Inc. | Current |
Accepting new patients | |
| Crittenden Community Hospital LLC | Current |
Accepting new patients | |
| Crittenden Community Hospital LLC | Current |
Accepting new patients | |
| Tri-Rivers Healthcare, PLLC | Surgery | Past | Accepting new patients |
| Livingston Hospital and Healthcare Services, Inc. | Past | Accepting new patients | |
| Livingston Hospital and Healthcare Services, Inc. | Past | Accepting new patients |
Locations
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
308 S Main St
Marion, KY 42064
Phone (270) 965-4377
141 Hospital Dr
Ste 102
Salem, KY 42078
Phone (270) 988-3298
141 Hospital Dr
Ste 103
Salem, KY 42078
Phone (270) 988-3298
131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299
141 Hospital Dr
Salem, KY 42078
Phone (270) 988-3298
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
- william.barnes.1@17246.direct.athenahealth.com
- https://api.platform.athenahealth.com/17246/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21949 | KY | |
| General Practice Physician | 208D00000X | 21949 | KY | Yes |
Addresses
Primary practice location
141 Hospital Dr Ste 102
Salem, KY 42078-8043
Mailing address
141 Hospital Drive
PO Box 347
Salem, KY 42078-0347
Phone (270) 988-3298
Other practice location 1
308 S Main St
Marion, KY 42064-1545
Phone (270) 965-4377
Other practice location 2
141 Hospital Dr Ste 103
Salem, KY 42078-8043
Phone (270) 988-3298
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64219496 | Medicaid | KY |
Other names
- Dr. William Edris Barnes Jr.
Other providers in Salem, KY
- Jennifer Rae Alexander
- James Todd Bergin
- Brown Physical Therapy Service
- Carolyn E Brown
- Gary Hamilton Brown
- Stephen B Burkhart
All providers in Salem, KY · General Practice Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.