Provider Demographics
NPI:1851380133
Name:TOTH, BARBARA J (CRNA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:TOTH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1245
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29116-1245
Mailing Address - Country:US
Mailing Address - Phone:803-395-4497
Mailing Address - Fax:803-395-4497
Practice Address - Street 1:3000 ST MATTHEWS ROAD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-1442
Practice Address - Country:US
Practice Address - Phone:803-395-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 208785367500000X
OHNA 02238367500000X
SC2114367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC576008010006OtherBLUE CHOICE
SC576008010015OtherTRICARE
SC000000165090OtherUNISON
SCAN1328Medicaid
SC20034802OtherFIRST CHOICE
SC576008010009OtherBCBS
SC000000165090OtherUNISON
SCQ33630Medicare UPIN