Provider Demographics
NPI:1306800628
Name:BARQUIST, ERIK S (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:S
Last Name:BARQUIST
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 1:52 RILEY ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747
Mailing Address - Country:US
Mailing Address - Phone:407-846-2266
Mailing Address - Fax:
Practice Address - Street 1:1800 MEDICAL CENTER PKWY STE 420
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3193
Practice Address - Country:US
Practice Address - Phone:615-229-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME681982086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2569671-00Medicaid
FL2569671-00Medicaid
FL2569671-00Medicaid