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NPI Code Detail

MEDICARE: DR. JEREMY PAUL BARAN M.D.

MEDICARE: DR. JEREMY PAUL BARAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician0101250159VA
2207LC0200XCritical Care Medicine (Anesthesiology) Physician0101250159VA

General Provider Information

NPI Number : 1245546761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY PAUL BARAN M.D.
Provider Business Mailing Address
First Line : 1340 CENTRAL PARK BLVD STE 100
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4940
Country : US
Telephone Number : 540-741-4254
Fax Number :
Provider Business Practice Location Address
First Line : 1001 SAM PERRY BLVD
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4453
Country : US
Telephone Number : 540-741-7614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2010
Last Update Date : 06/19/2026

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