Active NPI
Ear, Nose & Throat Associates of Mountain Home, PA
- Otolaryngology Physician
- Mountain Home, AR
National Provider Identifier
1790784734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- EAR, NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME, PA
- Practice address
- 626 Burnett Dr
Mountain Home, AR 72653-2941 - Phone
- (870) 424-4200
- Fax
- (870) 424-4327
- NPI assigned
- Jul 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monty Barker, M.D.
- Title
- President
- Phone
- (870) 424-4200
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | AR | Primary | |
| Pediatric Otolaryngology Physician | 207YP0228X | AR | ||
| Facial Plastic Surgery Physician | 207YS0123X | AR | ||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | AR | ||
| Otolaryngic Allergy Physician | 207YX0602X | AR | ||
| Otology & Neurotology Physician | 207YX0901X | AR | ||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | AR | ||
| Audiologist | 231H00000X | AR |
Addresses
Primary practice location
626 Burnett Dr
Mountain Home, AR 72653-2941
Mailing address
626 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 424-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5B115 | Other | AR | BLUE CROSS BLUE SHIELD |
| CI8730 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090414000079 | AR | Part B Supplier - Clinic/Group Practice | 9830246693 |
Receives reassigned benefits from 6 practitioners Practice locations: Mountain Home, AR |
National Provider Directory
National Provider DirectoryLocations
520 N Pine St
Harrison, AR 72601
Phone (870) 414-4000
626 Burnett Dr
Mountain Home, AR 72653
Phone (870) 424-4200
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Austin, TX
- NPI 1922323443
AR, Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1790784734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-424-4200",
"fax_number": "870-424-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-424-4200",
"fax_number": "870-424-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAR, NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "MONTY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-424-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "AR",
"license": null,
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "AR",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5B115",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI8730",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.