Provider Demographics
NPI:1578576088
Name:KAMER-THOMPSON, BARBARA A (MD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:KAMER-THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 SPARKS AVENUE
Mailing Address - Street 2:SUITE #203
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:812-218-8555
Mailing Address - Fax:812-218-8557
Practice Address - Street 1:207 SPARKS AVENUE
Practice Address - Street 2:SUITE #203
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130
Practice Address - Country:US
Practice Address - Phone:812-218-8555
Practice Address - Fax:812-218-8557
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININ01042316207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000042768OtherANTHEM
IN200026950AMedicaid
IN221570BMedicare PIN
IN000000042768OtherANTHEM