Provider Demographics
NPI:1538386743
Name:HOWARD S BARNEBEY MD
Entity type:Organization
Organization Name:HOWARD S BARNEBEY MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARNEBEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-454-3937
Mailing Address - Street 1:1920 116TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3019
Mailing Address - Country:US
Mailing Address - Phone:425-454-3937
Mailing Address - Fax:
Practice Address - Street 1:1920 116TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3012
Practice Address - Country:US
Practice Address - Phone:425-454-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8802499Medicare PIN