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Physician Compare National (NPI:1346310174)

HEALTHCARE PROVIDER: ROBERT E BARKETT MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1346310174
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0840483657
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101025000408
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BARKETT
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Individual professional's medical school
Graduation Year 1990
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 341 CLINE AVE
Group Practice or individual's line 1 address
City MANSFIELD
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 449071072
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 360068
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 PROMEDICA TOLEDO HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 360118
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 OHIOHEALTH MANSFIELD HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 360365
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 AVITA ONTARIO
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 360006
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 RIVERSIDE METHODIST HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 361324
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 OHIOHEALTH SHELBY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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