MEDICARE: CATHY BUONO BARNES MD

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	ME54354	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2132506	OTHER	AETNA
3	275172	OTHER	AVMED
4	5900215	OTHER	GHI
5	7794213	OTHER	AETNA

General Provider Information

NPI Number	:	1821089756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY BUONO BARNES MD

Provider Business Mailing Address
First Line	:	3000 STARKEY BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2175
Country	:	US
Telephone Number	:	727-375-1004
Fax Number	:	727-376-5435

Provider Business Practice Location Address
First Line	:	3000 STARKEY BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2175
Country	:	US
Telephone Number	:	727-375-1004
Fax Number	:	727-376-5435

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	04/14/2017

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