Provider Demographics
NPI:1053477562
Name:BARRETT, THOMAS FRANCIS SR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANCIS
Last Name:BARRETT
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 TUSCANY BLVD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-6637
Mailing Address - Country:US
Mailing Address - Phone:941-492-4140
Mailing Address - Fax:941-493-7189
Practice Address - Street 1:1211 TUSCANY BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-6637
Practice Address - Country:US
Practice Address - Phone:941-492-4140
Practice Address - Fax:941-493-7189
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO326202085U0001X
FLME621212085U0001X
OH35.033912085U0001X
AK50352085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
E41307Medicare UPIN