Provider Demographics
NPI:1639391295
Name:SMUCKER, BARBARA ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANNE
Last Name:SMUCKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 MASON DIXON HWY
Mailing Address - Street 2:
Mailing Address - City:GARRETT
Mailing Address - State:PA
Mailing Address - Zip Code:15542-8506
Mailing Address - Country:US
Mailing Address - Phone:814-701-5737
Mailing Address - Fax:
Practice Address - Street 1:3401 MASON DIXON HWY
Practice Address - Street 2:
Practice Address - City:GARRETT
Practice Address - State:PA
Practice Address - Zip Code:15542-8506
Practice Address - Country:US
Practice Address - Phone:814-701-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0144862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102587398-0001Medicaid