Provider Demographics
NPI:1649263294
Name:BARON, JOHN I (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:I
Last Name:BARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 E DR HICKS BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5767
Mailing Address - Country:US
Mailing Address - Phone:256-766-8570
Mailing Address - Fax:256-766-5183
Practice Address - Street 1:201 E DR HICKS BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5767
Practice Address - Country:US
Practice Address - Phone:256-766-8570
Practice Address - Fax:256-766-5183
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.37014207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001301746Medicaid
010030174CT02OtherANTHEM BCBS
00130174601OtherANTHEM BCBS
060052426OtherRAILROAD MEDICARE
2083602OtherAETNA
010030174CT03OtherANTHEM BCBS
CTHAS413OtherOXFORD
CT628620OtherCONNECTICARE
CTOV3354OtherHEALTH NET
0005252065OtherAETNA
2083602OtherAETNA
0005252065OtherAETNA