Provider Demographics
NPI:1356371488
Name:BARRON, ANGELA R (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:BARRON
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:PO BOX 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-6000
Practice Address - Country:US
Practice Address - Phone:704-993-2240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001463208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN01463Medicaid
NCP00399294OtherRR MEDICARE
NC1356371488Medicaid
NC89128UOMedicaid
NC128UOOtherBC BS NC
NC110222909OtherRR MEDICARE
NC2286891AMedicare PIN
NCNCA287AMedicare PIN
NC2075292CMedicare PIN
NCNC1346AMedicare PIN
NC2075292HMedicare PIN
NC2075292NMedicare PIN
NC2075292FMedicare PIN
NC2075292BMedicare PIN
NCP00399294OtherRR MEDICARE
NC2075292DMedicare PIN
NC128UOOtherBC BS NC
NC110222909OtherRR MEDICARE
NC2075292MMedicare PIN
NC2286891Medicare PIN
NC2075292EMedicare PIN
NC2075292Medicare PIN
NC2075292KMedicare PIN