Provider Demographics
NPI:1427140920
Name:PORCHIA, BARBARA ANN (DPM)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:PORCHIA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:PORCHIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 855
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71711-0855
Mailing Address - Country:US
Mailing Address - Phone:870-280-2131
Mailing Address - Fax:870-204-7807
Practice Address - Street 1:238 CASH RD SW
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-3737
Practice Address - Country:US
Practice Address - Phone:870-837-2828
Practice Address - Fax:870-837-2854
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR186213E00000X, 213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR139169717Medicaid
AR480032219OtherRAILROAD MEDICARE
AR5U445OtherBCBS
AR4553540002Medicare NSC
AR254865YKAUMedicare PIN
AR5U445Medicare PIN
AR139169717Medicaid