Basic Information
| Provider Information | |||||||||
| NPI: | 1003013079 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARROWS | ||||||||
| FirstName: | RAYMOND | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CNP | ||||||||
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| 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 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN.CNP.06938 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WG0000X | NP 06938 | OH | N | Nursing Service Providers | Registered Nurse | General Practice |
ID Information
| ID | Type | State | Issuer | Description | 2844748 | 05 | OH | MEDICAID | NP24713 | 01 | OH | MEDICARE (SPRINGDALE) | OTHER | NP24712 | 01 | OH | MEDICARE (EASTGATE) | OTHER | P00830233 | 01 | OH | MEDICARE RR | OTHER |