Provider Demographics
NPI:1073584835
Name:BARNES, DOUGLAS E (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:E
Last Name:BARNES
Suffix:
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4083
Mailing Address - Fax:717-812-2244
Practice Address - Street 1:35 MONUMENT RD
Practice Address - Street 2:STE 201
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-812-4083
Practice Address - Fax:717-812-2244
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00411842085R0202X
PAMD055896L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1588779OtherGATEWAY-WMG
PA750051OtherUPMC-WMG
MDKA80OtherB/C B/S
MDJ062OtherB/C B/S
DC2849OtherB/C B/S
PA30075310OtherAMERIHEALTH MERCY-WMG
PA0016316590008Medicaid
MD764371300Medicaid
MD919374OtherCAREFIRST MD BCBS
PA303638OtherUNISION-WMG
PA518343OtherHIGHMARK BLUE SHIELD
PA823073FLTMedicare PIN
PA303638OtherUNISION-WMG
MDCD4495Medicare ID - Type UnspecifiedRAILROAD MEDICARE
DE011548A20Medicare ID - Type UnspecifiedMEDICARE
DEDD4343Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MD764371301Medicare PIN
DC2849OtherB/C B/S
PA750051OtherUPMC-WMG
PA1588779OtherGATEWAY-WMG
MDKA80OtherB/C B/S
PAP00843286Medicare PIN