Provider Demographics
NPI:1245242213
Name:MCCABE, BARBRA JILL (MD)
Entity Type:Individual
Prefix:
First Name:BARBRA
Middle Name:JILL
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBRA
Other - Middle Name:JILL
Other - Last Name:MCFARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6201 CENTREVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2626
Mailing Address - Country:US
Mailing Address - Phone:703-830-5600
Mailing Address - Fax:703-830-6942
Practice Address - Street 1:6201 CENTREVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2626
Practice Address - Country:US
Practice Address - Phone:703-830-5600
Practice Address - Fax:703-830-6942
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239612208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA011168C77Medicare PIN