Jean C Barton, MD
Individual provider Active NPI Specialist · Minneapolis, MN
NPI 1790713055 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790713055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 35568 (MN)
- Practice address
- 701 Park Ave
Minneapolis, MN 55415-1623 - Phone
- (612) 873-5891
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35568 | MN | Yes |
Addresses
Primary practice location
701 Park Ave
Minneapolis, MN 55415-1623
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183073200 | Medicaid | MN |
Other providers in Minneapolis, MN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.