Provider Demographics
NPI:1326376120
Name:BARTH, BOBBI ROCKEY (DO)
Entity Type:Individual
Prefix:DR
First Name:BOBBI
Middle Name:ROCKEY
Last Name:BARTH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:JO
Other - Last Name:ROCKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:888 DAYTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1777
Mailing Address - Country:US
Mailing Address - Phone:937-767-7291
Mailing Address - Fax:937-767-1302
Practice Address - Street 1:888 DAYTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1777
Practice Address - Country:US
Practice Address - Phone:937-767-7291
Practice Address - Fax:937-767-1302
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.010726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0079454Medicaid
OH0079454Medicaid
OHH222020Medicare Oscar/Certification