Provider Demographics
NPI:1215900964
Name:BARRON, DARLENE A (DO)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:A
Last Name:BARRON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 DARROW RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5026
Mailing Address - Country:US
Mailing Address - Phone:330-656-5911
Mailing Address - Fax:330-656-5901
Practice Address - Street 1:870 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-1219
Practice Address - Country:US
Practice Address - Phone:440-466-1141
Practice Address - Fax:330-656-5901
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006302L207P00000X
OH34-004426207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000560OtherANTHEM
OH000000349348OtherANTHEM
PA0017170740008Medicaid
OH000000381140OtherANTHEM
OH000000162489OtherANTHEM
OH000000381220OtherANTHEM
OH0740612Medicaid
OHN423542OtherWELL CARE
OH000000381808OtherANTHEM
PAE76679Medicare UPIN
OHBA0675059Medicare PIN
OH4214736Medicare PIN
OH000000381808OtherANTHEM
OH000000560OtherANTHEM
OHN423542OtherWELL CARE
OH0740612Medicaid
OHP00647294Medicare PIN
OHBA4214732Medicare PIN
OH000000381140OtherANTHEM
OHP00638553Medicare PIN