Organization Active NPI

Robert E Barnett MD LLC

  • Family Medicine Physician
  • Defiance, OH
National Provider Identifier
1801107826
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT E BARNETT MD LLC
Practice address
1105 Ralston Ave
Defiance, OH 43512-1336
Phone
(419) 782-3111
Fax
(419) 782-3118
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert E Barnett, M.D.
Title
President
Phone
(419) 782-3111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1105 Ralston Ave
Defiance, OH 43512-1336

Mailing address

1105 Ralston Ave
Defiance, OH 43512-1336
Phone (419) 782-3111

Other identifiers 1

IdentifierTypeStateIssuer
0429521MedicaidOH

National Provider Directory

National Provider Directory

Locations

1105 Ralston Ave
Defiance, OH 43512
Phone (419) 782-3111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1801107826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121336",
            "telephone_number": "419-782-3111",
            "fax_number": "419-782-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121336",
            "telephone_number": "419-782-3111",
            "fax_number": "419-782-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E BARNETT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-782-3111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.