Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 186 | AR |
N | 222Z00000X | Podiatrist | 186 | AR |
N | 213EP1101X | Primary Podiatric Medicine | 186 | AR |
Y | 213ES0103X | Foot & Ankle Surgery | 186 | AR |
NPI | 1427140920 |
---|---|
Provider Name | Dr. Barbara Ann Porchia |
First Address | Camden, AR 71711-0855 |
Second Address | Camden, AR 71701-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 21/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139169717 | (05) | AR |
480032219 | RAILROAD MEDICARE (01) | AR |
5U445 | BCBS (01) | AR |
U67922 | (02) | AR |