Organization Active NPI

Otis R. Barnum ,D.O.

  • Internal Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1821180423
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OTIS R. BARNUM ,D.O.
Practice address
1029 Keyser Ave
Suite H
Natchitoches, LA 71457-6248
Phone
(318) 352-9880
Fax
(318) 357-1347
NPI assigned
Sep 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Otis R. Barnum, M.D.NPI 1245224559
Title
Ceo
Phone
(318) 352-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

420 Dixie Plz
Natchitoches, LA 71457
Phone (318) 352-9880

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1029 Keyser Ave
Suite H
Natchitoches, LA 71457-6248

Mailing address

1029 Keyser Ave
Suite H
Natchitoches, LA 71457-6248
Phone (318) 352-9880

Other names 1

NPPES NPI Registry
  • Natchitoches Internal Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2009.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1821180423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KEYSER AVE",
            "address_2": "SUITE H",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576248",
            "telephone_number": "318-352-9880",
            "fax_number": "318-357-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KEYSER AVE",
            "address_2": "SUITE H",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576248",
            "telephone_number": "318-352-9880",
            "fax_number": "318-357-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTIS R. BARNUM ,D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "BARNUM",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-352-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchitoches Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.