NPI Code Details Logo

NPI 1508800194

NPI 1508800194 : MICHAEL PATRICK BARNA M.D. : PORT HURON, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508800194
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL PATRICK BARNA M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/15/2006
-----------------------------------------------------
    Last Update Date     |    02/24/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1221 PINE GROVE AVE 
-----------------------------------------------------
    City                 |    PORT HURON
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48060-3511
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-733-7741
-----------------------------------------------------
    Fax                  |    810-733-8898
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3490 CALKINS RD 
-----------------------------------------------------
    City                 |    FLINT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48532-3506
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-733-7741
-----------------------------------------------------
    Fax                  |    810-733-8898
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207ZC0500X
-----------------------------------------------------
    Taxonomy Name        |    Cytopathology Physician
-----------------------------------------------------
    License Number       |    4301051173
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207ZC0500X
-----------------------------------------------------
    Taxonomy Name        |    Cytopathology Physician
-----------------------------------------------------
    License Number       |    G87366
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207ZP0102X
-----------------------------------------------------
    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
-----------------------------------------------------
    License Number       |    G87366
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    4301051173
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    G87366
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207ZP0102X
-----------------------------------------------------
    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
-----------------------------------------------------
    License Number       |    4301051173
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.