Provider Demographics
NPI:1982683405
Name:BARLOW, JAMES ORSON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ORSON
Last Name:BARLOW
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 1:14800 W MOUNTAIN VIEW BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-2700
Mailing Address - Country:US
Mailing Address - Phone:623-584-3376
Mailing Address - Fax:623-584-3375
Practice Address - Street 1:14800 W MOUNTAIN VIEW BLVD STE 160
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2700
Practice Address - Country:US
Practice Address - Phone:623-584-3376
Practice Address - Fax:623-584-3375
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29708207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0447670OtherBLUE CROSS BLUE SHIELD
AZ998007000014OtherMEDISUN
AZ188961600OtherDEPT OF LABOR WORK COMP
AZ1982683405OtherAHCCS
AZ7436767OtherAETNA
AZ229874OtherHEALTHNET
AZ2540678OtherUNITED HEALTHCARE
AZP00322854OtherMEDICARE RAILROAD
AZ998007000014OtherMEDISUN
AZ188961600OtherDEPT OF LABOR WORK COMP
AZ1982683405OtherAHCCS