Provider Demographics
NPI:1992777890
Name:BARTO, EILEEN M (MD)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:M
Last Name:BARTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:319 SERGEANT SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:SERGEANT BLUFF
Mailing Address - State:IA
Mailing Address - Zip Code:51054-7729
Mailing Address - Country:US
Mailing Address - Phone:712-943-2500
Mailing Address - Fax:712-943-5696
Practice Address - Street 1:319 SERGEANT SQUARE DR
Practice Address - Street 2:
Practice Address - City:SERGEANT BLUFF
Practice Address - State:IA
Practice Address - Zip Code:51054-7729
Practice Address - Country:US
Practice Address - Phone:712-943-2500
Practice Address - Fax:712-943-5696
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA32019207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
20629OtherBCBS OF NE
SD7771310Medicaid
IA1139774Medicaid
49463OtherWELLMARK BCBS OF IOWA
080146594OtherMEDICARE RAILROAD
SD7771310Medicaid
IA1139774Medicaid