Individual provider Active NPI

Jane Marie Barker, D.O.

  • Family Medicine Physician
  • Ste. Genevieve, MO
National Provider Identifier
1982679072
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
112187 Issued in MO
Practice address
Highway 61 and 32
Ste. Genevieve, MO 63670
Phone
(573) 883-7786
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112187 MO Primary
Family Medicine Physician 207Q00000X 036-110429 IL
Emergency Medicine Physician 207P00000X 112187 MO

Addresses

Primary practice location

Highway 61 and 32
Ste. Genevieve, MO 63670

Mailing address

1144 Lazy Hollow CT
O Fallon, IL 62269-7043
Phone (618) 628-2193

Other identifiers 2

IdentifierTypeStateIssuer
036110429MedicaidIL
08232205OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000000 MO Practitioner - Family PracticePractitioner - Emergency Medicine 2668458811 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-110429ILMDFamily Medicine Physician
112187MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Midwest Emergency Management, Inc. Emergency Medicine Past Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

990 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-5151

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1982679072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAZY HOLLOW CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697043",
            "telephone_number": "618-628-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 61 AND 32",
            "city": "STE. GENEVIEVE",
            "state": "MO",
            "postal_code": "63670",
            "telephone_number": "573-883-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "112187",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-110429",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "112187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110429",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232205",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste. Genevieve, MO

Sources for this page

Verify at the official NPI Registry.