Provider Demographics
NPI:1780684407
Name:OBERG-HIGGINS, BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OBERG-HIGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:PAYSON
Other - Last Name:OBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:96 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-8341
Mailing Address - Country:US
Mailing Address - Phone:207-939-4594
Mailing Address - Fax:
Practice Address - Street 1:6 GLEN COVE DRIVE
Practice Address - Street 2:ROCKPORT
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-7533
Practice Address - Country:US
Practice Address - Phone:843-706-9955
Practice Address - Fax:843-706-9956
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015220207RN0300X, 208M00000X
GA068259207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME335030099Medicaid
MEH58567Medicare UPIN
ME335030099Medicaid
MEP00025308Medicare PIN
MEUX0509Medicare PIN