Edward N. Barr

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EDWARD N. BARR

Doing business as

Great Trail Family Practice

Practice address

1028 E Lincolnway
Minerva, OH 44657-1216

Phone

(330) 868-6044

Fax

(330) 868-6847

NPI assigned

Dec 6, 2006

Last updated

Jul 10, 2007By 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

Susan B Barr

Title

Office Manager

Phone

(330) 868-6044

Specialties & licenses 1

Addresses

Other names 1

• Great Trail Family Practice Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1487713632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571216",
            "telephone_number": "330-868-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571216",
            "telephone_number": "330-868-6044",
            "fax_number": "330-868-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD N. BARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-868-6044"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Trail Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Minerva, OH
• Providers in Minerva, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.