Provider Demographics
NPI:1427105105
Name:BARTH, DANIEL JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:BARTH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1601 NW 114TH ST
Mailing Address - Street 2:SUITE 347
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7007
Mailing Address - Country:US
Mailing Address - Phone:515-224-1777
Mailing Address - Fax:515-225-6750
Practice Address - Street 1:1601 NW 114TH ST
Practice Address - Street 2:SUITE 347
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50325-7007
Practice Address - Country:US
Practice Address - Phone:515-224-1777
Practice Address - Fax:515-225-6750
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3465207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0746164Medicaid
IA31629OtherWELLMARK
IA252315OtherMIDLAND'S CHOICE
IA31629OtherWELLMARK
IAI20030Medicare PIN