Provider Demographics
NPI:1386745297
Name:BARNETT, FELIX DARNELL (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:DARNELL
Last Name:BARNETT
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:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-0457
Mailing Address - Country:US
Mailing Address - Phone:410-708-1048
Mailing Address - Fax:301-218-1061
Practice Address - Street 1:2108 DIDONATO DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2628
Practice Address - Country:US
Practice Address - Phone:410-708-1048
Practice Address - Fax:301-218-1061
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0037421207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD851414300Medicaid
MDC67680Medicare UPIN
MD851414300Medicaid