Active NPI
Eric Garn Barrett, M.D.
- Integrative Medicine Physician
- Dallas, PA
National Provider Identifier
1871625368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- MD462439
- Practice address
- 1162 Twin Stacks Dr
Dallas, PA 18612-8505 - Phone
- (570) 255-4728
- NPI assigned
- Mar 10, 2007
- Last updated
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41177 | AZ | |
| Integrative Medicine Physician | 202D00000X | MD462439 | PA | Primary |
| Pediatric Obesity Medicine Physician | 2080B0002X | MD462439 | PA | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | MD462439 | PA |
Addresses
Primary practice location
1162 Twin Stacks Dr
Dallas, PA 18612-8505
Mailing address
1162 Twin Stacks Dr
Dallas, PA 18612-8505
Phone (570) 255-4728
Other practice location 1
1000 E Mountain Drive
Wilkes Barre, PA 18711-0027
Phone (570) 808-7850
Other practice location 2
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-7313
Phone (520) 795-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41177 | AZ | MD | Anesthesiology Physician |
| MD462439 | PA | MD | Pediatric Obesity Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1871625368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 TWIN STACKS DR",
"city": "DALLAS",
"state": "PA",
"postal_code": "186128505",
"telephone_number": "570-255-4728",
"fax_number": "570-310-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 TWIN STACKS DR",
"city": "DALLAS",
"state": "PA",
"postal_code": "186128505",
"telephone_number": "570-255-4728"
}
],
"practiceLocations": [
{
"address_1": "1000 E MOUNTAIN DRIVE",
"address_purpose": "LOCATION",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110027",
"country_code": "US",
"telephone_number": "570-808-7850",
"fax_number": "570-808-7855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3390 N Campbell Ave",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857197313",
"country_code": "US",
"telephone_number": "520-795-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETT",
"first_name": "ERIC",
"middle_name": "GARN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "41177",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "PA",
"license": "MD462439",
"primary": true
},
{
"code": "2080B0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Obesity Medicine",
"state": "PA",
"license": "MD462439",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "PA",
"license": "MD462439",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
- Back Mountain Orthopedics P.C.
- Back Mountain Pediatric Dentistry
- Back Mountain Pediatrics
- Back Mountain Regional Fire and EMS Inc
- Amy Lynn Balent, M.S., CCC-SLP/L,CBIS
- Sierra Rose Barry, PT, DPT
- Patricia Marie Bates
- Raymond Alan Besecker, RPH
- Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Kidney Care Back Mountain)
- Jean Ann Birmer-May
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.