Provider Demographics
NPI:1528053527
Name:BARKER, RICHARD D (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:BARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 W WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2643
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:970 W WOOSTER ST
Practice Address - Street 2:BOWLING GREEN ORTHOPAEDICS SUITE #222
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2643
Practice Address - Country:US
Practice Address - Phone:419-352-1519
Practice Address - Fax:419-352-7004
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35037974207X00000X, 207XS0106X, 207XX0004X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4315847OtherAETNA
OH000000027491OtherANTHEM
OH16460001OtherADMINISTAR/DMERC
OH953200OtherAETNA HMO
OH153778OtherUNITED HEALTHCARE
OH0367544Medicaid
OH200027236OtherRAILROAD MEDICARE
OH01807OtherPARAMOUNT HEALTHCARE
OHE92074Medicare UPIN
OH01807OtherPARAMOUNT HEALTHCARE