Basic Information
Provider Information
NPI: 1376832774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNES-DAVIS
FirstName: MARIA
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH. D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 BURNET AVE ML 7009
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136364830
FaxNumber: 5136367868
Practice Location
Address1: 3333 BURNET AVE ML 7009
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136364830
FaxNumber: 5136367868
Other Information
ProviderEnumerationDate: 04/06/2011
LastUpdateDate: 09/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X35.123956OHN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001X35.123956OHY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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