1508065624 NPI number — BARBARA PIKE, M.D., P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508065624 NPI number — BARBARA PIKE, M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBARA PIKE, M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508065624
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
770 S HIGHWAY 377
Provider Second Line Business Mailing Address:
SUITE #208
Provider Business Mailing Address City Name:
PILOT POINT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76258-4471
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-686-0550
Provider Business Mailing Address Fax Number:
940-686-0440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
770 S HIGHWAY 377
Provider Second Line Business Practice Location Address:
SUITE #208
Provider Business Practice Location Address City Name:
PILOT POINT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76258-4471
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-686-0550
Provider Business Practice Location Address Fax Number:
940-686-0440
Provider Enumeration Date:
07/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PIKE
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
HANKINSON
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
940-686-0550

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  J6664 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8776B9 . This is a "MEDICARE INDIVIDUAL PROVI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10007838 . This is a "AMERIGROUP TPI NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: J6664 . This is a "LICENSE NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8G2732 . This is a "BLUE CROSS BLUE SHIELD PR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1851376016 . This is a "INDIVIDUAL NPI NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00186U . This is a "MEDICARE PTAN LEGACY GROU" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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