Provider Demographics
NPI:1104054352
Name:BARTON, THOMESHA MARIE (MD)
Entity type:Individual
Prefix:
First Name:THOMESHA
Middle Name:MARIE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THOMESHA
Other - Middle Name:MARIE
Other - Last Name:SMOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7590 AUBURN ROAD
Mailing Address - Street 2:SUITE 014
Mailing Address - City:CONCORD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9176
Mailing Address - Country:US
Mailing Address - Phone:440-354-1899
Mailing Address - Fax:440-354-1845
Practice Address - Street 1:4176 STATE ROUTE 306
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9203
Practice Address - Country:US
Practice Address - Phone:440-918-4630
Practice Address - Fax:440-918-4632
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-121373207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0087185Medicaid
OH0087185Medicaid