Provider Demographics
NPI:1821004367
Name:BARBIE, RONALD N (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:N
Last Name:BARBIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 EAST LIBERTY ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1538
Mailing Address - Country:US
Mailing Address - Phone:502-584-2872
Mailing Address - Fax:502-587-0606
Practice Address - Street 1:250 EAST LIBERTY ST
Practice Address - Street 2:SUITE 900
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1538
Practice Address - Country:US
Practice Address - Phone:502-584-2872
Practice Address - Fax:502-587-0606
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY17235208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64172356Medicaid
IN200080920BMedicaid
IN200080920BMedicaid
IN1457554305Medicare NSC
KY64172356Medicaid