Provider Demographics
NPI:1063486975
Name:BARKER, JOHN D JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:BARKER
Suffix:JR
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 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1001 E. 21ST ST., STE. 501
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-8630
Practice Address - Fax:605-322-8631
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD2210207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0005566OtherBLUE CROSS
SD6000972Medicaid
MN8Z081BAOtherCC SYSTEMS/ BLUE PLUS
SD2210OtherDAKOTACARE
NE46022474338Medicaid
SD526065OtherARAZ/ AMERICA'S PPO
MN160064OtherUCARE
SDHP32306OtherHEALTHPARTNERS
SD100013213OtherRR MEDICARE
SD23422OtherSANFORD HEALTH PLAN
MN315895100Medicaid
SD57105B002OtherWPS TRICARE
SD769171017545OtherPREFERRED ONE
IA1920751Medicaid
SD22274OtherMIDLANDS CHOICE
SD2900237OtherMEDICA
MN8Z081BAOtherBLUE CROSS
SD526065OtherARAZ/ AMERICA'S PPO
NE46022474338Medicaid