BYRON BARBOUR (NPI# 1023625019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023625019 |
| Entity Type | Individual |
| Full Name | BYRON BARBOUR |
| Credential | DPT |
| Practice Address |
670 Boulevard De France Parris Island SC 29905 |
| Mailing Address |
1 Pinckney Blvd Beaufort SC 29902-6122 |
| Practice Telephone | 8432282505 |
| Mailing Telephone | 8432285994 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
670 BOULEVARD DE FRANCE |
| City | PARRIS ISLAND |
| State | SC |
| Zip Code | 29905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306397161 | Paige Desaulniers | Physician Assistant | 670 Boulevard De France, Parris Island, SC 29905 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1639723208 | James Jordan Kline | Dentist | Parris Island, Dental Clinic, Fpo, AA 29905 | 2019-07-31 |
| 1922531466 | Karl Kingry | Student in an Organized Health Care Education/Training Program | Bldg #598 Geiger Blvd, Beaufort, SC 29905 | 2017-04-11 |
| 1821405754 | Kevin Michael Haiar | Dentist | 674 Boulevard De France, Building #674, Parris Island, SC 29905 | 2014-07-11 |
| 1568718146 | Tyler Russell Johansen | Dentist | 674 Blvd De France, Beaufort, SC 29905 | 2012-08-01 |
| 1093060410 | Nicholas George Ressel | Dentist | 674 Boulevard De France, Parris Island, SC 29905 | 2012-07-23 |
| 1033407903 | Ryan Dennis Mehrer | Dentist | Mcrd Parris Island, Fpo, AA 29905 | 2011-07-13 |
| 1710215520 | James Reid | Psychologist | 670 Blvd De France, Parris Island, SC 29905 | 2009-12-07 |
| 1629303243 | Natalie Ranee Wilcox | Dentist | Mcrd, Parris Island, SC 29905 | 2009-10-15 |
| 1619139508 | William Michael Duensing | Dentist | Mcrd-dental Bldg 674, Parris Island, SC 29905 | 2008-07-01 |
| Find all providers in zip 29905 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057947 | Christopher Gregory Topping | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902 | 2017-04-18 |
| 1518498443 | Samantha Panuski | Military Health Care Provider | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-03-22 |
| 1619354040 | William S Magin | Military Health Care Provider | 598 Geiger Blvd, Marine Corps Air Station Beaufort, Beaufort, SC 29904 | 2015-05-06 |
| 1134405830 | John Conway | Military Health Care Provider | 203 West Main Street, Suite E-1, Lexington, SC 29072-9494 | 2011-10-25 |
| 1568500676 | Buffy Howard | Military Health Care Provider | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2007-02-01 |
| 1912095423 | Paul Sanders | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-10-10 |
| 1477644722 | Marc J Stevens | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-09-28 |
| 1679673156 | Sejal Patel | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-09-24 |
| 1346346624 | Juliana Infante Galang | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital Att: Mcxl-pq, Columbia, SC 29207-5700 | 2006-09-15 |
| 1922079433 | Josefa Mundo | Military Health Care Provider | 3600 Rivers Ave, Box 487 Navhosp, North Charleston, SC 29405-7747 | 2006-02-01 |
| Find all providers with the same taxonomy | ||||
| City | PARRIS ISLAND |
| Zip Code | 29905 |
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| 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.