NPIMap

Individual provider Active NPI

Layne S Barnes, DO

  • Family Medicine Physician
  • Malad City, ID
National Provider Identifier
1265424741
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-1610 Issued in ID
Practice address
220 Bannock St
Malad City, ID 83252-5068
Phone
(208) 766-2231
NPI assigned
Aug 19, 2005
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11262404-1204 UT
Family Medicine Physician 207Q00000X L5966 TX
Hospitalist Physician 208M00000X 11262404-1204 UT
Family Medicine Physician 207Q00000X O-1610 ID Primary

Addresses

Primary practice location

220 Bannock St
Malad City, ID 83252-5068

Mailing address

PO Box 126
Malad City, ID 83252-0126

Other identifiers 1

IdentifierTypeStateIssuer
163946001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@oneidacountyclinic.hin.us Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190529000440 UT Practitioner - Family PracticePractitioner - Hospitalist 2860486610 Reassigns benefits to 1 organization
I20220210001944 ID Practitioner - Family Practice 2860486610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Oneida County HospitalGroup PAC ID 3476459108, shared by 5 NPIs, 10 clinicians
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians

Practice addresses (Care Compare)

220 Bannock St
Malad City, ID 83252-5068
Phone (208) 766-2600

2380 N 400
North Logan, UT 84341-6000
Phone (435) 713-9700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L5966TXMDFamily Medicine Physician
11262404-1204UTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida County Hospital Current Accepting new patients
Oneida County Hospital CurrentSince Feb 1, 2022 Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Oneida County Hospital CurrentSince Feb 1, 2022 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Apr 26, 2019 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Apr 26, 2019 Accepting new patients
Medi Horizons Inc Family Medicine Past Accepting new patients
College Drive Urgent Care LLC PastSince May 4, 2025 Accepting new patients
Synergy Medical Care Family Medicine Past Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

220 Bannock St
Malad City, ID 83252
Phone (208) 766-2231

2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Organizations & group practices 10

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

Hospital & facility affiliations 6

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1265424741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832520126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BANNOCK ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832525068",
            "telephone_number": "208-766-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAYNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11262404-1204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5966",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "11262404-1204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163946001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@oneidacountyclinic.hin.us",
            "affiliation": "N",
            "endpointDescription": "Oneida County Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Bannock St",
            "city": "Malad City",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832525068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

Verify at the official NPI Registry.