Provider Demographics
NPI:1942284674
Name:BARTON, JOHN S III (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:BARTON
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAMERON REGIONAL MEDICAL CENTER, INC.
Mailing Address - Street 2:1600 E EVERGREEN
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429
Mailing Address - Country:US
Mailing Address - Phone:816-632-2101
Mailing Address - Fax:816-649-3383
Practice Address - Street 1:1600 E EVERGREEN ST
Practice Address - Street 2:SUITE C
Practice Address - City:CAMERON
Practice Address - State:MO
Practice Address - Zip Code:64429-2400
Practice Address - Country:US
Practice Address - Phone:816-632-2139
Practice Address - Fax:816-632-2315
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO107182207Q00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00157999OtherMEDICARE RAILROAD
MO7856892OtherMEDICARE PART B
MO208313007Medicaid
MO7856892OtherMEDICARE PART B