Healthcare Provider Details

I. General information

NPI: 1417958919
Provider Name (Legal Business Name): SETH M BARNES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1662 HIGDON FERRY RD STE 200
HOT SPRINGS AR
71913
US

IV. Provider business mailing address

3443 HARRISON ST
BATESVILLE AR
72501-8820
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-2781
  • Fax: 501-623-1774
Mailing address:
  • Phone: 870-698-1635
  • Fax: 870-793-3196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberE1934
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-1934
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: