MEDICARE: DR. ERIC A. 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	116665	MO
2	207R00000X	Internal Medicine Physician	116665	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	:	1619952520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC A. BARNES D.O.

Provider Business Mailing Address
First Line	:	2101 CORONA RD
Second Line	:	STE 102
City	:	COLUMBIA
State	:	MO
Zip	:	65203-2582
Country	:	US
Telephone Number	:	573-234-1800
Fax Number	:	573-234-1799

Provider Business Practice Location Address
First Line	:	2101 CORONA RD STE 102
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-2582
Country	:	US
Telephone Number	:	573-234-1800
Fax Number	:	573-234-1799

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	06/21/2023

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