Active NPI
Amy L Barton, MD
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1629131784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M-11758
- Practice address
- Ut Southwestern Medical Ctr
5323 Harry Hines Blvd
Dallas, TX 75390-9063 - Phone
- (214) 648-3405
- Fax
- (214) 648-3220
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD38570 | TN | |
| Pediatrics Physician | 208000000X | 49922 | MN | |
| Child Abuse Pediatrics Physician | 2080C0008X | N3483 | TX | |
| Pediatrics Physician | 208000000X | M-11758 | ID | Primary |
Addresses
Primary practice location
Ut Southwestern Medical Ctr
5323 Harry Hines Blvd
Dallas, TX 75390-9063
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 706-8526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467603000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21997 | OK | MD | Mental Health Counselor |
| M-11758 | ID | MD | Pediatrics Physician |
| 49922 | MN | MD | Pediatrics Physician |
| MD38570 | TN | MD | Pediatrics Physician |
| N3483 | TX | MD | Child Abuse Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Pediatrics | Current | Accepting new patients |
Locations
100 E Idaho St
Ste 300
Boise, ID 83712
Phone (208) 345-5400
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
Interoperability endpoints
- abarton17652@direct.slhs.org
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629131784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-706-8526",
"fax_number": "214-648-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UT SOUTHWESTERN MEDICAL CTR",
"address_2": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909063",
"telephone_number": "214-648-3405",
"fax_number": "214-648-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTON",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD38570",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "49922",
"primary": false
},
{
"code": "2080C0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "TX",
"license": "N3483",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "M-11758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "467603000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.