Provider Demographics
NPI:1841233095
Name:BARTON, JOHN VERNON (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:VERNON
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 1:985 ROBERT BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2063
Mailing Address - Country:US
Mailing Address - Phone:985-643-5242
Mailing Address - Fax:985-326-8390
Practice Address - Street 1:1570 LINDBERG DR
Practice Address - Street 2:STE 14
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8084
Practice Address - Country:US
Practice Address - Phone:985-643-5242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS12086207P00000X
LA09183R207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00865237OtherRRMCARE
LAP00937552OtherRRMCARE THRU IMC (CLINIC)
LA1938335Medicaid
MS00125261Medicaid
MSP00429117OtherRAILROAD MCARE THRU IHS
LA1938335Medicaid
LAP00865237OtherRRMCARE
MS00125261Medicaid
LA4M506DR76Medicare PIN
MS930003583Medicare PIN