Provider Demographics
NPI:1265473821
Name:BARTON, GARY M (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:M
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 1:3401 SPRINGHILL DR
Mailing Address - Street 2:STE 400
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2924
Mailing Address - Country:US
Mailing Address - Phone:501-945-3343
Mailing Address - Fax:501-945-0770
Practice Address - Street 1:3401 SPRINGHILL DR
Practice Address - Street 2:STE 400
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2924
Practice Address - Country:US
Practice Address - Phone:501-945-3343
Practice Address - Fax:501-945-0770
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC6788174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR54517OtherFIRST SOURCE
AR12914000000OtherQUALCHOICE
AR7106445040014OtherCIGNA HEALTHCARE
AR100005495OtherUHC RAILROAD MEDICARE
AR54517OtherHEALTH ADAVANTAGE
AR4205588OtherAETNA HEALTHCARE
AR54517OtherBLUE ADVANTAGE
AR710644504003OtherUNITED HEALTHCARE
AR119072001Medicaid
AR54517OtherAR BLUE CROSS BLUE SHIELD
AR710644504003OtherUNITED HEALTHCARE
AR7106445040014OtherCIGNA HEALTHCARE