Provider Demographics
NPI:1952524746
Name:BARNETT, MARCUS D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:D
Last Name:BARNETT
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 1:4251 RIVER CENTER CT NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-7549
Mailing Address - Country:US
Mailing Address - Phone:319-730-7300
Mailing Address - Fax:730-730-7368
Practice Address - Street 1:4251 RIVER CENTER CT NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-7549
Practice Address - Country:US
Practice Address - Phone:319-730-7300
Practice Address - Fax:319-730-7368
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-46742207V00000X
TXH9773174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAMD-46742OtherIOWA MEDICAL LICENSE
TXF27866Medicare UPIN
TXP000U94G2Medicaid