Provider Demographics
NPI:1447317813
Name:BARRON, TIMOTHY DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:DANIEL
Last Name:BARRON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 W 15TH ST
Mailing Address - Street 2:STE 204
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-2455
Mailing Address - Country:US
Mailing Address - Phone:336-835-2349
Mailing Address - Fax:336-835-2541
Practice Address - Street 1:305 W 15TH ST STE 204
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2455
Practice Address - Country:US
Practice Address - Phone:206-244-9466
Practice Address - Fax:620-624-2260
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0445698208600000X
NC2005-01815208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG54434Medicare UPIN