Provider Demographics
NPI:1851332407
Name:BARNES, RICHARD RAY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:RAY
Last Name:BARNES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:R
Other - Last Name:BARNES
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-0187
Mailing Address - Country:US
Mailing Address - Phone:813-625-6618
Mailing Address - Fax:
Practice Address - Street 1:301 TYSON AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4544
Practice Address - Country:US
Practice Address - Phone:731-642-1220
Practice Address - Fax:731-642-1220
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA321929207Q00000X, 207P00000X
FLME69285207P00000X
KY48412207P00000X
IN01075955A207P00000X
TN51898207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G39968Medicare UPIN