Provider Demographics
NPI:1548250772
Name:BARLOW, ERIC R (MD)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:R
Last Name:BARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-2312
Mailing Address - Country:US
Mailing Address - Phone:319-524-1800
Mailing Address - Fax:319-524-1210
Practice Address - Street 1:3140 PLANK RD
Practice Address - Street 2:
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-2312
Practice Address - Country:US
Practice Address - Phone:319-524-1800
Practice Address - Fax:319-524-1210
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA345682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1548250772Medicaid
IA35272OtherWELLMARK
IA240572OtherMIDLANDS CHOICE
IA1278812Medicaid
IAIA0107OtherJOHN DEERE
IA35272OtherWELLMARK
IA240572OtherMIDLANDS CHOICE
IA719260460Medicare PIN