Provider Demographics
NPI:1104263169
Name:BARROWS, STEVEN ALBERT (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALBERT
Last Name:BARROWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 PARK DRIVE
Practice Address - Street 2:ROUTE 405
Practice Address - City:MONTGOMERY
Practice Address - State:PA
Practice Address - Zip Code:17752-8533
Practice Address - Country:US
Practice Address - Phone:570-546-4062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457049207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031366500002Medicaid
NY04542292Medicaid
PA529875N9XMedicare UPIN