Provider Demographics
NPI: | 1891795845 |
---|---|
Name: | WARD, BARBARA (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | BARBARA |
Middle Name: | |
Last Name: | WARD |
Suffix: | |
Gender: | F |
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: | 1910 COCHRAN RD |
Mailing Address - Street 2: | MANOR OAK 2, SUITE 740 |
Mailing Address - City: | PITTSBURGH |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15220-1203 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 412-440-6999 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1910 COCHRAN RD |
Practice Address - Street 2: | MANOR OAK TWO, SUITE 740 |
Practice Address - City: | PITTSBURGH |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15220-1203 |
Practice Address - Country: | US |
Practice Address - Phone: | 412-440-6999 |
Practice Address - Fax: | 412-440-6998 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-07-29 |
Last Update Date: | 2007-11-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD064431L | 2085R0202X, 2085U0001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
PA | 16553 | Other | HEALTH AMERICA |
PA | G68302 | Medicare UPIN |