Active NPI
Ann M Barber, M.D.
- Internal Medicine Physician
- Lake City, FL
National Provider Identifier
1649303124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 205409
- Practice address
- 619 South Marion Ave
Vamc - Lake City
Lake City, FL 32025-5808 - Phone
- (212) 399-3421
- Fax
- (212) 399-3932
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 205409 | NY | Primary |
Addresses
Primary practice location
619 South Marion Ave
Vamc - Lake City
Lake City, FL 32025-5808
Mailing address
619 South Marion Ave
Vamc - Lake City
Lake City, FL 32025-5808
Phone (212) 399-3421
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6087728 | Medicaid | VA | |
| 07205224 | Other | PA | MEDICAL ASSISTANCE PROGM |
| 205971100 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205409 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1649303124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 SOUTH MARION AVE",
"address_2": "VAMC - LAKE CITY",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255808",
"telephone_number": "212-399-3421",
"fax_number": "212-399-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 SOUTH MARION AVE",
"address_2": "VAMC - LAKE CITY",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255808",
"telephone_number": "212-399-3421",
"fax_number": "212-399-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBER",
"first_name": "ANN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "205409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6087728",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE PROGM",
"identifier": "07205224",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205971100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.