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NPI Code Detail

MEDICARE: ASHTYN BARRIENTES-WOODSIDE MD

MEDICARE: ASHTYN BARRIENTES-WOODSIDE MD
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
1208600000XSurgery Physician9412113KS
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1477179679
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTYN BARRIENTES-WOODSIDE MD
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD # MS 2005
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD # MS 3006
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 432-770-1863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2020
Last Update Date : 01/23/2026

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