Active NPI
Jose O Barron Jr., ATC, LAT
- Athletic Trainer
- Roswell, NM
National Provider Identifier
1902891989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 114
- Practice address
- 101 W College Blvd
Roswell, NM 88201-5174 - Phone
- (575) 624-8458
- Fax
- (575) 624-8287
- NPI assigned
- Sep 15, 2005
- Last updated
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 114 | NM | Primary |
Addresses
Primary practice location
101 W College Blvd
Roswell, NM 88201-5174
Mailing address
3011 Futura Dr.
Roswell, NM 88201
Phone (575) 624-8458
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114 | NM | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1902891989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 FUTURA DR.",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "575-624-8458",
"fax_number": "575-624-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W COLLEGE BLVD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015174",
"telephone_number": "575-624-8458",
"fax_number": "575-624-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "JOSE",
"middle_name": "O",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.