NPI Code Details Logo

NPI 1871625368

NPI 1871625368 : ERIC GARN BARRETT M.D. : DALLAS, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1871625368
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ERIC GARN BARRETT M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/10/2007
-----------------------------------------------------
    Last Update Date     |    09/17/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1162 TWIN STACKS DR 
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18612-8505
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-255-4728
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1162 TWIN STACKS DR 
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18612-8505
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-255-4728
-----------------------------------------------------
    Fax                  |    570-310-1448
-----------------------------------------------------

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

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207L00000X
-----------------------------------------------------
    Taxonomy Name        |    Anesthesiology Physician
-----------------------------------------------------
    License Number       |    41177
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2080B0002X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Obesity Medicine Physician
-----------------------------------------------------
    License Number       |    MD462439
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2083B0002X
-----------------------------------------------------
    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
-----------------------------------------------------
    License Number       |    MD462439
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    202D00000X
-----------------------------------------------------
    Taxonomy Name        |    Integrative Medicine Physician
-----------------------------------------------------
    License Number       |    MD462439
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

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