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NPI Code Detail

MEDICARE: JEFFREY WILLIAM BARR MD

MEDICARE: JEFFREY WILLIAM BARR 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
1208VP0000XPain Medicine Physician01053919AIN
2207LP2900XPain Medicine (Anesthesiology) PhysicianM3893TX

Other Identifiers

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

General Provider Information

NPI Number : 1558349845
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY WILLIAM BARR MD
Provider Business Mailing Address
First Line : 500 W VOTAW ST
Second Line :
City : PORTLAND
State : IN
Zip : 47371-1322
Country : US
Telephone Number : 260-726-2993
Fax Number : 260-726-1958
Provider Business Practice Location Address
First Line : 500 W VOTAW ST
Second Line :
City : PORTLAND
State : IN
Zip : 47371-1322
Country : US
Telephone Number : 260-726-2993
Fax Number : 260-726-1958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 09/22/2025

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