Provider Demographics
NPI:1386638120
Name:O'CONNELL, BARBARA K (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:K
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:K
Other - Last Name:KASPERKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE STE 439
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-578-3925
Mailing Address - Fax:412-605-6361
Practice Address - Street 1:4815 LIBERTY AVE STE 439
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-578-3925
Practice Address - Fax:412-605-6361
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025660E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001135015Medicaid
10933390OtherCAQH
PA524691OtherBLUE SHIELD
PA50007991OtherBLUE CROSS
PA524691Medicare PIN