Healthcare Provider Details

I. General information

NPI: 1083980585
Provider Name (Legal Business Name): JAMES W BARNES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 HIGHWAY 95 N STE 714
LAKE HAVASU CITY AZ
86404-8551
US

IV. Provider business mailing address

5601 HIGHWAY 95 N STE 714
LAKE HAVASU CITY AZ
86404-8551
US

V. Phone/Fax

Practice location:
  • Phone: 928-854-3333
  • Fax:
Mailing address:
  • Phone: 928-538-4325
  • Fax: 928-683-1391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA159330
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number55081
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: