1285691485 NPI number — BARBARA L SARB DO

Table of content: BARBARA L SARB DO (NPI 1285691485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285691485 NPI number — BARBARA L SARB DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARB
Provider First Name:
BARBARA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

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:
1285691485
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1204 E CHEVES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29506-2710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-673-0122
Provider Business Mailing Address Fax Number:
843-661-6400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1204 E CHEVES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29506-2710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-673-0122
Provider Business Practice Location Address Fax Number:
843-661-6400
Provider Enumeration Date:
05/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P2900X , with the licence number:  0412 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208VP0014X , with the licence number: 0412 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: 0412 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X , with the licence number: 0412 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084S0012X , with the licence number: 0412 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2075537001 . This is a "CIGNA" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 0503624 . This is a "PHYSICIANS HEALTH PLAN" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 5385300 . This is a "HEALTHSOURCE/CIGNA" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 2075807 . This is a "AETNA HMO NETWORK" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 7905104 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01839317 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 60806 . This is a "MEDCOST" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 709566 . This is a "FOCUS" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 720503 . This is a "MB EVOLUTIONS" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: #11 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 1044180 . This is a "FIRST HEALTH" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 5888629 . This is a "AETNA OPEN NETWORK" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 263154 . This is a "ONE HEALTH PLAN" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 720502 . This is a "MI EVOLUTIONS" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 004122 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3099822 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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