Provider Demographics
NPI:1245251990
Name:BARRETT, SHARI LYN (MD)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:LYN
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 BELLEMEADE AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0102
Mailing Address - Country:US
Mailing Address - Phone:812-473-0200
Mailing Address - Fax:812-473-3640
Practice Address - Street 1:3700 BELLEMEADE AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0102
Practice Address - Country:US
Practice Address - Phone:812-473-0200
Practice Address - Fax:812-473-3640
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033182207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000333630OtherANTHEM/BLUE SHIELD
IN100247290AMedicaid
IN847780Medicare ID - Type Unspecified
IN100247290AMedicaid