F. Lyle Walters Barksdale, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · North Platte, NE
NPI 1700872504 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700872504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 15626 (NE)
- Practice address
- 500 W Leota St
North Platte, NE 69101-6578 - Phone
- (308) 532-4700
- Fax
- (308) 534-0534
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15626 | NE | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 15626 | NE | Yes |
Addresses
Primary practice location
500 W Leota St
North Platte, NE 69101-6578
Mailing address
PO Box 1289
North Platte, NE 69103-1289
Phone (308) 532-4700
Other names
- Lyle Walters Barksdale
Other providers in North Platte, NE
- Connie Sue Bailey
- Riley Bailey
- Mariah Bardell
- Erica Bargell
- Byron L. Barksdale
- Emily Barr
- Mary L Barraza
- Breanna Renee Barrett
- Lori Lee Barrett
- Shantel J Barta
All providers in North Platte, NE · Anatomic Pathology & Clinical Pathology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.