Provider Demographics
NPI:1104953553
Name:JEFFREY S BARTON, D.O., INC.
Entity type:Organization
Organization Name:JEFFREY S BARTON, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-373-9700
Mailing Address - Street 1:400 MATTHEW ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1644
Mailing Address - Country:US
Mailing Address - Phone:740-373-9700
Mailing Address - Fax:740-374-5097
Practice Address - Street 1:400 MATTHEW ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1644
Practice Address - Country:US
Practice Address - Phone:740-373-9700
Practice Address - Fax:740-374-5097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2107786Medicaid
OH0847752Medicare ID - Type Unspecified
OH2107786Medicaid