Provider Demographics
NPI:1568464154
Name:BARNHART, GLENN REID (MD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:REID
Last Name:BARNHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 84026
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-8426
Mailing Address - Country:US
Mailing Address - Phone:206-320-7300
Mailing Address - Fax:206-320-4698
Practice Address - Street 1:1600 E JEFFERSON ST
Practice Address - Street 2:STE 110
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5698
Practice Address - Country:US
Practice Address - Phone:206-320-7300
Practice Address - Fax:206-320-4698
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033585208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB09276Medicare UPIN
VA330000045Medicare ID - Type Unspecified