Healthcare Provider Details

I. General information

NPI: 1164086773
Provider Name (Legal Business Name): CURTIS J BARNES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 HOSPITAL DRIVE SUITE 112
STATE COLLEGE PA
16803-6706
US

IV. Provider business mailing address

143 HOSPITAL DRIVE SUITE 112
STATE COLLEGE PA
16803-6706
US

V. Phone/Fax

Practice location:
  • Phone: 814-865-3566
  • Fax:
Mailing address:
  • Phone: 814-865-3566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberOS024783
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS024783
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: