Provider Demographics
NPI:1508822560
Name:PAGE, BARBARA ANN (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:PAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:PAGE
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4907 RAINBOW TROUT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6467
Mailing Address - Country:US
Mailing Address - Phone:573-268-8829
Mailing Address - Fax:
Practice Address - Street 1:800 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5275
Practice Address - Country:US
Practice Address - Phone:573-814-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR1G64207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2086318801OtherKANSAS MEDICAID
MO527481OtherIOWA MEDICAID
MO118493OtherHEALTHLINK
AR138637001OtherARKANSAS MEDICAID
MO202785309Medicaid
MO127254OtherBLUE SHIELD/BLUE CHOICE
MO2004017OtherUNITED HEALTHCARE
KS2086318801OtherKANSAS MEDICAID
MO318010635Medicare PIN
MO127254OtherBLUE SHIELD/BLUE CHOICE
AR138637001OtherARKANSAS MEDICAID