Organization Active NPI

Theodore Barton

  • Advanced Practice Midwife
  • Soldotna, AK
National Provider Identifier
1588852115
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
5721 Issued in AK
Legal business name
THEODORE BARTON
Practice address
35670 Kenai Spur Hwy
Suite 101a
Soldotna, AK 99669-7626
Phone
(907) 262-2602
Fax
(907) 262-5794
NPI assigned
Oct 9, 2007
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Jenny Ratky
Title
Billing Manager
Phone
(907) 262-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 5721 AK Primary

Addresses

Primary practice location

35670 Kenai Spur Hwy
Suite 101a
Soldotna, AK 99669-7626

Mailing address

35670 Kenai Spur Hwy
Suite 101a
Soldotna, AK 99669-7626
Phone (907) 262-2602

Other identifiers 2

IdentifierTypeStateIssuer
MD1793MedicaidAK
NP5721MedicaidAK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D0887711Theodore Barton MD35670 Kenai Spur Hwy Suite 101a, Soldotna, AK 99669Provider-performed microscopyJun 15, 2028

National Provider Directory

National Provider Directory

Locations

35670 Kenai Spur Hwy
Soldotna, AK 99669
Phone (907) 260-3668

35670 Kenai Spur Hwy
Ste 101A
Soldotna, AK 99669
Phone (907) 262-2602

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1588852115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35670 KENAI SPUR HWY",
            "address_2": "SUITE 101A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697626",
            "telephone_number": "907-262-2602",
            "fax_number": "907-262-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35670 KENAI SPUR HWY",
            "address_2": "SUITE 101A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697626",
            "telephone_number": "907-262-2602",
            "fax_number": "907-262-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE BARTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "RATKY",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-262-2602"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "5721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1793",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5721",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.