Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G71768 | CA |
NPI | 1124125208 |
---|---|
Provider Name | Michael Thomas Barger |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Sacramento, CA 95816-7058 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 09/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000810342515 | PHCS (01) | CA |
00G717680 | (05) | CA |
00G717680 | BLUE SHIELD (01) | CA |
1051751 | FIRST HEALTH (01) | CA |
1089860 | GREAT WEST (01) | CA |
1452786 | UNITED (01) | CA |
2258910 | FIRST HEALTH (01) | CA |
2367 | INTERPLAN (01) | CA |
3389764 | CIGNA (01) | CA |
4507068 | AETNA (01) | CA |
500837 | HEALTH NET (01) | CA |
90026133 | PACIFICARE (01) | CA |
E51273 | (02) | |
G71768 | BLUE CROSS (01) | CA |
MCMG167400 | WESTERN HEALTH ADVANTAGE (01) | CA |