Provider Demographics
NPI:1891773446
Name:BARBER, ANNABEL E (MD, FACS)
Entity Type:Individual
Prefix:
First Name:ANNABEL
Middle Name:E
Last Name:BARBER
Suffix:
Gender:F
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#490
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2298
Mailing Address - Fax:702-384-7506
Practice Address - Street 1:1707 W CHARLESTON BLVD STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2354
Practice Address - Country:US
Practice Address - Phone:702-671-5150
Practice Address - Fax:702-384-6493
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8247208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019871Medicaid
NV002019871Medicaid
NV880330858OtherGREAT-WEST
NV1084873OtherFIRST HEALTH/CCN
NV399867OtherAHCCCS
NV880330858OtherUNIVERSAL HEALTH NETWORK
NV880330858OtherAFFILIATED HEALTH FUNDS
NV880330858OtherBEECH STREET
NV880330858OtherCIGNA
NV880330858OtherCORVEL CORP.
NV880330858OtherHORIZON/MCC
NV880330858OtherMEDIVERSAL
NV880330858OtherUNITED HEALTHCARE
NVWQBHV20Medicare ID - Type Unspecified
NV880330858OtherANTHEM BC/BS
NV880330858OtherHUMANA/CHOICE CARE
NV880330858OtherSIERRA HEALTH SERVICES
NV880330858OtherINTERPLAN
NVF35347Medicare UPIN
NV002019871Medicaid