Dr. Randy Lee Barnes
Emergency Medicine (Undersea and Hyperbaric Medicine)

Address: 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360
Phone: 2084895800

Dr. Randy Lee Barnes (NPI# 1295811867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1295811867
Entity Type Individual
Full Name Dr. Randy Lee Barnes
Credential M.D.
Gender Male
Practice Address 3277 E Louise Dr Ste 410
Meridian
ID 83642-9360
Practice Telephone 2084895800
Practice Fax Number 2084894065
Mailing Address 3277 E Louise Dr Ste 410
Meridian
ID 83642-9360
Mailing Telephone (208) 489-5800
Mailing Fax Number 2084894065
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-27
Last Update Date 2017-07-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians M9867 ID
Yes 207PE0005X Emergency Medicine · Undersea and Hyperbaric Medicine Allopathic & Osteopathic Physicians M-9867 ID

Other Provider Identifier

State Identifier Issuer Type Code
CA 00A889180 MEDICAID
ID 808349300 MEDICAID

Other Providers RANDY BARNES

NPI Name Taxonomy Address Enumeration
1205854601 Randy Alan Barnes Pharmacist 1200 W Jackson Blvd, Jonesborough, TN 37659-5294 2006-07-17
1548203441 Randy Barnes Physician Assistant 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2006-06-14
1831132489 Randy D Barnes Chiropractor 110 N 37th St, Norfolk, NE 68701-3265 2006-06-13

Physician Overview

NPI 1295811867
PAC ID by PECOS 8527164078
Professional Enrollment ID I20070806000850
Full Name Randy L Barnes
Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Phone Number 2084895800
Gender M
Credential MD
Medical School UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 4981878402
Number of Group Practice Members 698
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130006 ST LUKE'S REGIONAL MEDICAL CENTER
131323 ST LUKE'S WOOD RIVER MEDICAL CENTER

Office Location

Street Address 3277 E LOUISE DR STE 410
City MERIDIAN
State ID
Zip Code 83642-9360

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255814448 Mileen M Langley Physical Therapist 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 2018-09-13
1932627213 Natasha Michelle Brenner Physical Therapist 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 2017-09-06
1316361116 Gregory Oneal Physical Therapist 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 2014-02-13
1417371360 Allison Ilene Stephens Physical Therapist 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 2014-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian Inc Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
1861982456 St Lukes Clinic - Treasure Valley LLC Preventive Medicine 5155 S Howry Lane, Meridian, ID 83642 2018-05-18
1841798634 Gps Health & Wellness Community/Behavioral Health 850 E Franklin Rd Ste 404, Meridian, ID 83642 2018-01-26
1285143941 Nicholas E O'brien Counselor 2463 E Gala St, Meridian, ID 83642 2017-09-26
1851819486 Laura M. Brotherson Marriage & Family Therapist Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 2017-09-04
1073049235 Klaas Vanden Beld Nurse Practitioner 3277 E. Louise Dr., Portico West, Suite 410, Meridian, ID 83642 2017-05-10
1700327863 Nicole Still Counselor 2076 South Eagle Road, Meridian, ID 83642 2017-03-09
1669910790 Bradley Ross Raburn Counselor 1211 N. Glamorgan Ave, Meridian, ID 83642 2017-02-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 207PE0005X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851866545 Hyperbaric Centers of Idaho Emergency Medicine 721 Hailey Dr, Hailey, ID 83333-8778 2018-10-09
1386642494 Idaho Hyperbarics Inc Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-12
1356349492 Martha I Buitrago Emergency Medicine 2900 Cortez Ave, Idaho Falls, ID 83404-7554 2005-07-12
1639190291 Margaret Mary Doucette Emergency Medicine 600 Robbins Road, Boise, ID 83702 2006-07-21
1215957733 Marlene K Olson Emergency Medicine 600 N Robbins Rd, Suite 100, Boise, ID 83702-4565 2006-07-20
1205875275 Emergency Medicine of Idaho Emergency Medicine 13960 W Wainwright Dr, Boise, ID 83713-1969 2006-06-05
1285633065 Christopher C Shields Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-14
1659370443 Michael J Gregson Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-14
1366441156 Charles O Garrison Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-14

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City MERIDIAN
Zip Code 83642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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