Provider Demographics
NPI:1063590529
Name:BARNETT, ANTHONY SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:SCOTT
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-215-3354
Mailing Address - Fax:206-233-7489
Practice Address - Street 1:1600 E JEFFERSON ST STE 500
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5647
Practice Address - Country:US
Practice Address - Phone:206-215-4300
Practice Address - Fax:202-215-4315
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0161300OtherMEDICARE RAILROAD
WA195727OtherL&I
WA7106149Medicaid
8853148Medicare PIN
WA0161300OtherMEDICARE RAILROAD