Provider Demographics
NPI:1922030915
Name:BARNO, JILL L (MD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:L
Last Name:BARNO
Suffix:
Gender:F
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:PO BOX 654
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-0654
Mailing Address - Country:US
Mailing Address - Phone:740-420-8060
Mailing Address - Fax:740-420-6074
Practice Address - Street 1:600 N PICKAWAY ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-2409
Practice Address - Country:US
Practice Address - Phone:740-420-8060
Practice Address - Fax:740-420-6074
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084524207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2529204Medicaid
OHBA4149041Medicare PIN
OHI22968Medicare UPIN