Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | R9377 | MO |
NPI | 1235196205 |
---|---|
Provider Name | Barry J Gainor |
First Address | Columbia, MO 65205-7687 |
Second Address | Columbia, MO 65212-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 01/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102472 | HEALTHLINK (01) | MO |
200988905 | (05) | MO |
2086328701 | KANSAS MEDICAID (01) | KS |
5840 | BLUE SHIELD/BLUE CHOICE (01) | MO |
904031 | UNITED HEALTHCARE (01) | MO |
B18578 | (02) |