Basic Information
| Provider Information | |||||||||
| NPI: | 1063486975 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKER | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 86370 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571186370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 E. 21ST ST., STE. 501 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 57105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053228630 | ||||||||
| FaxNumber: | 6053228631 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 12/19/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 2210 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 0005566 | 01 | SD | BLUE CROSS | OTHER | 6000972 | 05 | SD | MEDICAID | 8Z081BA | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 2210 | 01 | SD | DAKOTACARE | OTHER | 46022474338 | 05 | NE | MEDICAID | 526065 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 160064 | 01 | MN | UCARE | OTHER | HP32306 | 01 | SD | HEALTHPARTNERS | OTHER | 100013213 | 01 | SD | RR MEDICARE | OTHER | 23422 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 315895100 | 05 | MN | MEDICAID | 57105B002 | 01 | SD | WPS TRICARE | OTHER | 769171017545 | 01 | SD | PREFERRED ONE | OTHER | 1920751 | 05 | IA | MEDICAID | 22274 | 01 | SD | MIDLANDS CHOICE | OTHER | 2900237 | 01 | SD | MEDICA | OTHER | 8Z081BA | 01 | MN | BLUE CROSS | OTHER |