MEDICARE: MR. JOHN D BARTH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R7713	MO

General Provider Information

NPI Number	:	1336297944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN D BARTH DO

Provider Business Mailing Address
First Line	:	PO BOX 219672
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64121-9672
Country	:	US
Telephone Number	:	816-628-6128
Fax Number	:	816-630-4465

Provider Business Practice Location Address
First Line	:	305 S PLATTE CLAY WAY
Second Line	:
City	:	KEARNEY
State	:	MO
Zip	:	64060-8214
Country	:	US
Telephone Number	:	816-628-4409
Fax Number	:	816-628-5783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	09/25/2014

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Directions to “ MR. JOHN D BARTH DO” Practice Location

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