# JASON TYLER BARITEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740482850
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 13840 | RI | — |
| 207X00000X | Orthopaedic Surgery Physician | LP01073 | RI | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 070339 | GA | Yes |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | P5595 | TX | — |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 07/31/2014