Organization Active NPI

Paul R Barton DPM LLC

  • Podiatrist
  • Tyrone, PA
National Provider Identifier
1386465862
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Oct 18, 2024

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20241120000760 PA Part B Supplier - Clinic/Group Practice 9739614389 Receives reassigned benefits from 1 practitioner
Practice locations: Tyrone, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.