Provider Demographics
NPI:1285629915
Name:RAYO, BARBARA BROOKS (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:BROOKS
Last Name:RAYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JO
Other - Last Name:RAYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1021 COUNTRY CLUB RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2470
Mailing Address - Country:US
Mailing Address - Phone:614-501-7337
Mailing Address - Fax:614-434-2701
Practice Address - Street 1:4595 TRUEMAN BOULEVARD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2576
Practice Address - Country:US
Practice Address - Phone:614-529-0771
Practice Address - Fax:614-529-2370
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051504R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0577568Medicaid