Provider Demographics
NPI:1407859218
Name:BARTON, JASON A (DO)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:A
Last Name:BARTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 GARFIELD AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3247
Mailing Address - Country:US
Mailing Address - Phone:304-865-3699
Mailing Address - Fax:304-318-8488
Practice Address - Street 1:1212 GARFIELD AVE STE 202
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3247
Practice Address - Country:US
Practice Address - Phone:304-865-3699
Practice Address - Fax:304-318-8488
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.007508207Q00000X
WV1815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1803394000Medicaid
WV080193340OtherRR MEDICARE
OHP00805640OtherMEDICARE RAILROAD
OHP00805640OtherMEDICARE RAILROAD
WV4036687Medicare PIN
OH4205611Medicare PIN