Basic Information
| Provider Information | |||||||||
| NPI: | 1205820628 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2400 S. MINNESOTA AVE | ||||||||
| Address2: | STE 100 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571053762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 N DAKOTA AVE | ||||||||
| Address2: | STE. 117 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571046037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053226800 | ||||||||
| FaxNumber: | 6053226802 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2005 | ||||||||
| LastUpdateDate: | 05/09/2014 | ||||||||
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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 | 207R00000X | 5102 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 92411422901 | 01 | MN | PRIMEWEST | OTHER | 1205820628 | 01 | ARAZ/AMERICA'S PPO | OTHER | 238583 | 01 | SD | MIDLANDS CHOICE | OTHER | 769201001005 | 01 | SD | PREFERRED ONE | OTHER | 57104A006 | 01 | SD | WPS TRICARE | OTHER | 6004423 | 05 | SD | MEDICAID | 370624200 | 01 | SD | DEPT OF LABOR | OTHER | 6I533BA | 01 | MN | BLUE CROSS | OTHER | 4992776 | 01 | SD | BLUE CROSS/BLUE SHIELD | OTHER | 12262 | 05 | ND | MEDICAID | 0410429 | 01 | SD | MEDICA | OTHER | 6I533BA | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 219003600 | 05 | MN | MEDICAID | 5102 | 01 | SD | DAKOTACARE | OTHER |