Basic Information
Provider Information
NPI: 1003013079
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARROWS
FirstName: RAYMOND
MiddleName: JOHN
NamePrefix: MR.
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 796 CINCINNATI-BATAVIA PIKE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452451279
CountryCode: US
TelephoneNumber: 5137529610
FaxNumber: 5137328734
Practice Location
Address1: 796 CINCINNATI-BATAVIA PIKE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452451279
CountryCode: US
TelephoneNumber: 5137529610
FaxNumber: 5137328734
Other Information
ProviderEnumerationDate: 07/02/2007
LastUpdateDate: 03/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WG0000XNP 06938OHN Nursing Service ProvidersRegistered NurseGeneral Practice
363LF0000XAPRN.CNP.06938OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
NP2471301OHMEDICARE (SPRINGDALE)OTHER
NP2471201OHMEDICARE (EASTGATE)OTHER
P0083023301OHMEDICARE RROTHER
284474805OH MEDICAID


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