Provider Demographics
NPI:1700836723
Name:HERSHFIELD, BARTON K (MD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:K
Last Name:HERSHFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 SW 5TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6501
Mailing Address - Country:US
Mailing Address - Phone:239-240-2045
Mailing Address - Fax:
Practice Address - Street 1:1708 CAPE CORAL PKWY W
Practice Address - Street 2:SUITE #2
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6985
Practice Address - Country:US
Practice Address - Phone:239-333-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113982207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0041496000Medicaid
WV0041496000Medicaid
WVHE7126821Medicare ID - Type Unspecified