Individual provider Active NPI

Eric Garn Barrett, M.D.

  • Integrative Medicine Physician
  • Dallas, PA
National Provider Identifier
1871625368
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
MD462439 Issued in PA
Practice address
1162 Twin Stacks Dr
Dallas, PA 18612-8505
Phone
(570) 255-4728
NPI assigned
Mar 10, 2007
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
41177AZMDAnesthesiology Physician
MD462439PAMDPediatric 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

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.

Verify at the official NPI Registry.