Provider Demographics
NPI:1205820628
Name:BARKER, JAMES MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:BARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2400 S. MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:300 N DAKOTA AVE
Practice Address - Street 2:STE. 117
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6037
Practice Address - Country:US
Practice Address - Phone:605-322-6800
Practice Address - Fax:605-322-6802
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5102207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN92411422901OtherPRIMEWEST
1205820628OtherARAZ/AMERICA'S PPO
SD238583OtherMIDLANDS CHOICE
SD769201001005OtherPREFERRED ONE
SD57104A006OtherWPS TRICARE
SD6004423Medicaid
SD370624200OtherDEPT OF LABOR
MN6I533BAOtherBLUE CROSS
SD4992776OtherBLUE CROSS/BLUE SHIELD
ND12262Medicaid
SD0410429OtherMEDICA
MN6I533BAOtherCC SYSTEMS/ BLUE PLUS
MN219003600Medicaid
SD5102OtherDAKOTACARE
SD4992776OtherBLUE CROSS/BLUE SHIELD
SDD80909Medicare UPIN