Individual provider Active NPI

William Charles Barth, M.D.

  • Family Medicine Physician
  • Oregon City, OR
National Provider Identifier
1396807673
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18020 Issued in OR
Practice address
1230 Division St
Oregon City, OR 97045-1556
Phone
(503) 655-5327
Fax
(503) 722-4499
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD18020 OR Primary

Addresses

Primary practice location

1230 Division St
Oregon City, OR 97045-1556

Mailing address

1230 Division St
Oregon City, OR 97045-1556
Phone (503) 655-5327

Other identifiers 1

IdentifierTypeStateIssuer
046115MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000505 OR Practitioner - Family Practice 6305031444

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health & Sciences Univ School of Dentistry, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1230 Division St
Oregon City, OR 97045-1521

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396807673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451556",
            "telephone_number": "503-655-5327",
            "fax_number": "503-722-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451556",
            "telephone_number": "503-655-5327",
            "fax_number": "503-722-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046115",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.