Provider Demographics
NPI:1700400470
Name:BARBER, THOMAS POWERS (DO)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:POWERS
Last Name:BARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27485 THREE MILE POINT RD
Mailing Address - Street 2:
Mailing Address - City:CHAUMONT
Mailing Address - State:NY
Mailing Address - Zip Code:13622-2187
Mailing Address - Country:US
Mailing Address - Phone:315-783-7114
Mailing Address - Fax:
Practice Address - Street 1:5402 DAYAN ST
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-1100
Practice Address - Country:US
Practice Address - Phone:315-376-5558
Practice Address - Fax:315-376-5587
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324893207Q00000X, 207QS0010X
PAOT020007390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program