Provider Demographics
NPI:1326111907
Name:BARTON MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:BARTON MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHADWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-264-6185
Mailing Address - Street 1:435 PHOENIX DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4534
Mailing Address - Country:US
Mailing Address - Phone:717-264-6185
Mailing Address - Fax:
Practice Address - Street 1:435 PHOENIX DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4534
Practice Address - Country:US
Practice Address - Phone:717-264-6185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055368L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015518610002Medicaid
PA028542Medicare ID - Type UnspecifiedGROUP NUMBER
PA0015518610002Medicaid
PAD45039Medicare UPIN
PAQ27521Medicare UPIN
PA084964NDKMedicare ID - Type UnspecifiedINDIVIDUAL NUMBER