Provider Demographics
NPI:1639237472
Name:DR. ERNEST M. BARAN, P.C.
Entity Type:Organization
Organization Name:DR. ERNEST M. BARAN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-834-6000
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-0177
Mailing Address - Country:US
Mailing Address - Phone:610-834-6000
Mailing Address - Fax:610-834-4019
Practice Address - Street 1:521 PLYMOUTH RD
Practice Address - Street 2:SUITE 117
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1638
Practice Address - Country:US
Practice Address - Phone:610-834-6000
Practice Address - Fax:610-834-4019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0048062000OtherINDEPENDENCE BLUE CROSS
PA0887721Medicaid
PA2774OtherAETNA
PA0048062000OtherINDEPENDENCE BLUE CROSS