Provider Demographics
NPI:1063452506
Name:PASCHAL, BARTON R (MD)
Entity Type:Individual
Prefix:
First Name:BARTON
Middle Name:R
Last Name:PASCHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:600 HOSPITAL DR
Practice Address - Street 2:SUITE 10B
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8024
Practice Address - Country:US
Practice Address - Phone:828-456-5214
Practice Address - Fax:828-456-7834
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC24483207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8965736Medicaid
NCP01300116OtherMEDICARE RR
NCP00956369OtherRAILROAD MEDICARE
NCC85904Medicare UPIN
NC209428BMedicare PIN
NC8965736Medicaid
NCP00956369OtherRAILROAD MEDICARE