Provider Demographics
NPI:1235491440
Name:BARRON, DAVID (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:BARRON
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41201 SCHADDEN RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2249
Mailing Address - Country:US
Mailing Address - Phone:440-324-0451
Mailing Address - Fax:440-324-0441
Practice Address - Street 1:41201 SCHADDEN RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2249
Practice Address - Country:US
Practice Address - Phone:440-324-0451
Practice Address - Fax:440-324-0441
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1426402085R0001X
PAMD4658182085R0001X
TXBP100441382085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0456851Medicaid
TX566843OtherTEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT