Provider Demographics
NPI:1457554305
Name:RONALD N. BARBIE MD, PLLC
Entity Type:Organization
Organization Name:RONALD N. BARBIE MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:BARBIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-814-3182
Mailing Address - Street 1:PO BOX 32513
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40232-2513
Mailing Address - Country:US
Mailing Address - Phone:502-635-6321
Mailing Address - Fax:502-637-6386
Practice Address - Street 1:2909 PRESTON HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1700
Practice Address - Country:US
Practice Address - Phone:502-635-6321
Practice Address - Fax:502-637-6386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY17235208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYDF9207OtherRAIL ROAD MEDICARE KY
IN100011510AMedicaid
KY64172359Medicaid
IN254360Medicare PIN