Individual
MICHAEL EDMOND BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-4067
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA066540
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA066540
PA
363A00000X
Physician Assistant
0110009634
VA
363A00000X
Physician Assistant
2121-023
WI
363A00000X
Physician Assistant
50.005103RX
OH
363A00000X
Physician Assistant
PA2250
KY
363AS0400X
Surgical Physician Assistant
2121-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598963019
—
WI
Enumeration date
07/05/2007
Last updated
06/05/2025
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