Provider Demographics
NPI:1790778082
Name:BARNES, ANN MARIE (MD)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8671 S QUEBEC ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80130-5859
Mailing Address - Country:US
Mailing Address - Phone:303-346-8828
Mailing Address - Fax:303-346-0407
Practice Address - Street 1:8671 S QUEBEC ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80130-5859
Practice Address - Country:US
Practice Address - Phone:303-346-8828
Practice Address - Fax:303-346-0407
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32543207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01325430Medicaid
D81148Medicare UPIN
C1478Medicare ID - Type Unspecified