MEDICARE: DR. RICHARD LEE BARNES D.O.

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
1	207YS0123X	Facial Plastic Surgery Physician	DO101482	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386645463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD LEE BARNES D.O.

Provider Business Mailing Address
First Line	:	2325 DOUGHERTY FERRY RD STE 106
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-3356
Country	:	US
Telephone Number	:	314-821-5002
Fax Number	:	314-821-5029

Provider Business Practice Location Address
First Line	:	2325 DOUGHERTY FERRY RD STE 106
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-3356
Country	:	US
Telephone Number	:	314-821-5002
Fax Number	:	314-821-5029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	12/10/2025

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