Active NPI
Robert E Barkett Sr., MD
- Internal Medicine Physician
- Mansfield, OH
National Provider Identifier
1447562970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25277
- Practice address
- 341 Cline Ave
Mansfield, OH 44907-1072 - Phone
- (419) 756-2454
- Fax
- (419) 756-1342
- NPI assigned
- Jul 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25277 | OH | Primary |
Addresses
Primary practice location
341 Cline Ave
Mansfield, OH 44907-1072
Mailing address
341 Cline Ave
Mansfield, OH 44907-1072
Phone (419) 756-2454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010893 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25277 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Internal Medicine | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Mansfield, OH
- NPI 1912036468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1447562970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071072",
"telephone_number": "419-756-2454",
"fax_number": "419-756-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071072",
"telephone_number": "419-756-2454",
"fax_number": "419-756-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKETT",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "25277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010893",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.