Provider Demographics
NPI:1235163478
Name:BARTON, STEPHEN J (MD)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:BARTON
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 1:1824 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043
Mailing Address - Country:US
Mailing Address - Phone:931-552-6070
Mailing Address - Fax:931-552-9896
Practice Address - Street 1:1824 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-552-6070
Practice Address - Fax:931-552-9896
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27883207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3800252Medicaid
TN3040253OtherBLUE CROSS
TN3378605Medicare ID - Type Unspecified
TN3800252Medicaid