Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.06938 | OH |
NPI | 1003013079 |
---|---|
Provider Name | Mr. Raymond John Barrows |
First Address | Cincinnati, OH 45245-1279 |
Second Address | Cincinnati, OH 45245-1279 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 19/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2844748 | (05) | OH |
NP24712 | MEDICARE (EASTGATE) (01) | OH |
NP24713 | MEDICARE (SPRINGDALE) (01) | OH |
P00830233 | MEDICARE RR (01) | OH |