Provider Demographics
NPI:1124103411
Name:GORBY, BARBARA J (CRNA)
Entity type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:J
Last Name:GORBY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:RIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:100 MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9762
Mailing Address - Country:US
Mailing Address - Phone:724-746-6308
Mailing Address - Fax:724-873-1116
Practice Address - Street 1:100 MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-9762
Practice Address - Country:US
Practice Address - Phone:724-746-6308
Practice Address - Fax:724-873-1116
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN551071367500000X
OH02097367500000X
OH262415367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2228726Medicaid
OHRI7260701Medicare ID - Type Unspecified