Healthcare Provider Details

I. General information

NPI: 1043298839
Provider Name (Legal Business Name): JAMES MICHAEL BARRETT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WEST AVALON AVE SHOALS HOSPITAL ANESTHESIA DEPARTMENT
MUSCLE SHOALS AL
35661
US

IV. Provider business mailing address

201 WEST AVALON AVE SHOALS HOSPITAL ANESTHESIA DEPARTMENT
MUSCLE SHOALS AL
35661
US

V. Phone/Fax

Practice location:
  • Phone: 256-386-1600
  • Fax:
Mailing address:
  • Phone: 256-386-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS12631
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberDO-871
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDO.871
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: