Provider Demographics
NPI:1972786952
Name:LOUDEN, BARRETT ASHER (MD)
Entity Type:Individual
Prefix:
First Name:BARRETT
Middle Name:ASHER
Last Name:LOUDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:416 COLEGATE DR BLDG 3
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-9549
Mailing Address - Country:US
Mailing Address - Phone:740-236-9047
Mailing Address - Fax:740-374-3165
Practice Address - Street 1:807 FARSON ST STE 126
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1068
Practice Address - Country:US
Practice Address - Phone:740-423-3618
Practice Address - Fax:740-571-0078
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23119207N00000X
OH35.135384207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810012368Medicaid
WV3810012368Medicaid
WV41039BMedicare UPIN