Active NPI
Paul R Barton DPM LLC
- Podiatrist
- Tyrone, PA
National Provider Identifier
1386465862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PAUL R BARTON DPM LLC
- Practice address
- 1010 Logan Ave
Tyrone, PA 16686-1522 - Phone
- (814) 684-4334
- NPI assigned
- Oct 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen Mills
- Title
- Credentialing Specialist
- Phone
- (814) 577-9385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1010 Logan Ave
Tyrone, PA 16686-1522
Mailing address
PO Box 68
Osceola Mills, PA 16666-0068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241120000760 | PA | Part B Supplier - Clinic/Group Practice | 9739614389 |
Receives reassigned benefits from 1 practitioner Practice locations: Tyrone, PA |
National Provider Directory
National Provider DirectoryLocations
1010 Logan Ave
Tyrone, PA 16686
Phone (814) 684-4334
5546 E Pleasant Valley Blvd
Tyrone, PA 16686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1386465862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "OSCEOLA MILLS",
"state": "PA",
"postal_code": "166660068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LOGAN AVE",
"city": "TYRONE",
"state": "PA",
"postal_code": "166861522",
"telephone_number": "814-684-4334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R BARTON DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "MAUREEN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "814-577-9385"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.