Provider Demographics
NPI:1124098041
Name:BARTON, KATHERINE D (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:D
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9869 S VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-8174
Mailing Address - Country:US
Mailing Address - Phone:479-877-9234
Mailing Address - Fax:
Practice Address - Street 1:3000 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3217
Practice Address - Country:US
Practice Address - Phone:479-553-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056171A207P00000X
ARE-5625207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL90001082OtherBCBS
IN930128583OtherMEDICARE RAILROAD
IN200392890Medicaid
IN000000278474OtherANTHEM BCBS
IN930128583OtherMEDICARE RAILROAD
IN201420EMedicare ID - Type Unspecified