Provider Demographics
NPI:1831130087
Name:BARTON, JOHN O'DONNELL (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:O'DONNELL
Last Name:BARTON
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 1:1822 GOOD HOPE RD
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-1233
Mailing Address - Country:US
Mailing Address - Phone:717-763-7685
Mailing Address - Fax:717-975-2950
Practice Address - Street 1:1822 GOOD HOPE RD
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-1233
Practice Address - Country:US
Practice Address - Phone:717-763-7685
Practice Address - Fax:717-975-2950
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027091E207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01574401OtherCAPITAL BLUE CROSS/CAIC
PA114714OtherHIGHMARK BLUE SHIELD
PA114714OtherHIGHMARK BLUE SHIELD
PAC30533Medicare UPIN