Clarence Richard Barnett MD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CB047150 Issued in MI

Legal business name

CLARENCE RICHARD BARNETT MD PLC

Practice address

1020 4TH Ave
Lake Odessa, MI 48849-1004

Phone

(616) 374-8881

Fax

(616) 374-4220

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clarence Richard Barnett, M.D.NPI 1558320846

Title

Owner

Phone

(616) 374-8881

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarence Richard Barnett, M.D.

  • Family Medicine Physician
  • Lake Odessa, MI
  • NPI 1558320846
  Medicare reassignment NPD Authorized official
• Kathryn Christine Wright, FNP-BC

  • Primary Care Nurse Practitioner
  • Lake Odessa, MI
  • NPI 1962028258
  Medicare reassignment NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447380324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491004",
            "telephone_number": "616-374-8881",
            "fax_number": "616-374-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491004",
            "telephone_number": "616-374-8881",
            "fax_number": "616-374-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE RICHARD BARNETT MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-374-8881",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "CB047150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000001213",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0340028",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4847930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "135",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence Richard Barnett, M.D.
• Patti Jo Beglin
• Laurie S Braker, MD
• Brian W Swanton MD PC
• Diana L Calcott, MA LP
• Erica Conn, LMSW
• Michael J Crete, DDS
• Andrea R Cusack
• Vicki Davison, LLP
• E-Motion Mobility

• Family Medicine Physician in Lake Odessa, MI
• Providers in Lake Odessa, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.