Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 46562 | WI |
N | 207V00000X | Obstetrician & Gynecologist | 87551 | OH |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 46562 | WI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 7502 | SD |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 87551 | OH |
NPI | 1588629570 |
---|---|
Provider Name | Dr. Matthew Alderson Barker |
First Address | Sioux Falls, SD 57108-6030 |
Second Address | Sioux Falls, SD 57108-6030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 25/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6201630 | (05) | SD |
6201632 | (05) | SD |
P00916589 | RR MEDICARE (01) | SD |
S103373 | SD MEDICARE (01) | SD |