Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35082046 | OH |
N | 111NI0900X | Internist | 35082046 | OH |
Y | 207RH0000X | Hematologist | 257275-1 | NY |
N | 207RX0202X | Medical Oncology | 257275-1 | NY |
NPI | 1407946460 |
---|---|
Provider Name | Paul Michael Barr |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 20/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221149 | UNISON # (01) | OH |
000000524528 | ANTHEM # (01) | OH |
2762578 | (05) | OH |
414943 | WELLCARE # (01) | OH |
750463 | BUCKEYE # (01) | OH |
9456056 | AETNA # (01) | OH |
P00431954 | MEDICARE RAILROAD (01) | OH |