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EDWIN N. BARRON JR. MD PA NPI 1396854642


NPI Information

NPI: 1396854642
Provider Name: EDWIN N. BARRON JR. MD PA

Former Legal Business Name: OFFICE PARK FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0467474

Address:
7 OFFICE PARK DRIVE
SUITE 100
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 225-9222
Get Directions

EDWIN N. BARRON JR. MD PA is a family medicine in Little Rock, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EDWIN N. BARRON JR. MD PA NPI is 1396854642. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Office Park Family Practice.

The provider's business location address is:

7 OFFICE PARK DRIVE
SUITE 100
LITTLE ROCK, AR
ZIP 72211-862
Phone: (501) 225-9222
Fax: (501) 225-8564

The provider's authorized official is Elwyn Joe Perser .
The authorized official title is Physician and has the following contact phone number (501) 225-9222.

The CLIA number assigned to this NPI record is 04D0467474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMC1513ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C67803MEDICARE UPINARKANSAS
2H06101MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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