Provider Demographics
NPI:1932295136
Name:JONES, BARTON E (CRNA)
Entity Type:Individual
Prefix:
First Name:BARTON
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 932
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-0932
Mailing Address - Country:US
Mailing Address - Phone:307-578-1860
Mailing Address - Fax:307-587-2364
Practice Address - Street 1:732 LINDSAY LN
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-4103
Practice Address - Country:US
Practice Address - Phone:307-578-1860
Practice Address - Fax:307-587-2364
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY20122.755367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY116560700Medicaid
WY311007Medicare ID - Type Unspecified
WY116560700Medicaid