Provider Demographics
NPI:1316944259
Name:BARRON, SCOTT M (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:M
Last Name:BARRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-1970
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:1162 OLIVER RD
Practice Address - Street 2:SUITE 7
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5755
Practice Address - Country:US
Practice Address - Phone:318-325-7007
Practice Address - Fax:318-699-0025
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA022538174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1483028Medicaid
LAP00077171OtherRRMC
LA4A418OtherMEDICARE ID
LA1483028Medicaid