Healthcare Provider Details

I. General information

NPI: 1023768876
Provider Name (Legal Business Name): QUINTON ALEXANDER BARNES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3253 E CHESTNUT EXPY STE 210A
SPRINGFIELD MO
65802-2698
US

IV. Provider business mailing address

3253 E CHESTNUT EXPY STE 201
SPRINGFIELD MO
65802-2698
US

V. Phone/Fax

Practice location:
  • Phone: 417-885-2200
  • Fax:
Mailing address:
  • Phone: 417-885-2200
  • Fax: 417-885-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2022021121
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number94-11060
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: