MEDICARE: CARRIE ANN BARTON 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
1	207P00000X	Emergency Medicine Physician	24175	OK

General Provider Information

NPI Number	:	1598743015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE ANN BARTON MD

Provider Business Mailing Address
First Line	:	1310 S MAIN ST
Second Line	:
City	:	GROVE
State	:	OK
Zip	:	74344-5304
Country	:	US
Telephone Number	:	918-786-2243
Fax Number	:	918-787-3864

Provider Business Practice Location Address
First Line	:	1310 S MAIN ST
Second Line	:
City	:	GROVE
State	:	OK
Zip	:	74344-5304
Country	:	US
Telephone Number	:	918-786-2243
Fax Number	:	918-787-3864

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	07/09/2007

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Directions to “ CARRIE ANN BARTON MD” Practice Location

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