Healthcare Provider Details

I. General information

NPI: 1316944259
Provider Name (Legal Business Name): SCOTT M. BARRON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1162 OLIVER RD SUITE 7
MONROE LA
71201-5755
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 318-325-7007
  • Fax: 318-699-0025
Mailing address:
  • Phone: 318-966-1970
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number022538
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number022538
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: