Provider Demographics
NPI:1164445003
Name:BARTON, CAROLINE LESLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:LESLIE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1542 TULANE AVE FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-568-4080
Mailing Address - Fax:504-568-7130
Practice Address - Street 1:3700 ST. CHARLES AVENUE, 4TH FLOOR
Practice Address - Street 2:LSU NEUROLOGY CLINIC
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-412-1517
Practice Address - Fax:504-412-1518
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13604R2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00127110Medicaid
LA1420158Medicaid
MS00127110Medicaid
LA1420158Medicaid
LA4E563Medicare PIN
LA4E563F668Medicare PIN
LA4E563F669Medicare PIN