Provider Demographics
NPI:1588629570
Name:BARKER, MATTHEW ALDERSON (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALDERSON
Last Name:BARKER
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 1:6100 S LOUISE AVE STE 1110
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-6030
Mailing Address - Country:US
Mailing Address - Phone:605-504-1900
Mailing Address - Fax:605-504-1901
Practice Address - Street 1:6100 S LOUISE AVE STE 1110
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-6030
Practice Address - Country:US
Practice Address - Phone:605-504-1900
Practice Address - Fax:605-504-1901
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46562207V00000X, 207VF0040X, 207VF0040X
OH87551207V00000X, 207VF0040X
SD7502207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS103373OtherSD MEDICARE
SD6201632Medicaid
SDP00916589OtherRR MEDICARE
SD6201630Medicaid