Provider Demographics
NPI:1740257948
Name:WALSH, BARBARA VOSS (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:VOSS
Last Name:WALSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 TERRY HILL LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2422
Mailing Address - Country:US
Mailing Address - Phone:314-997-2004
Mailing Address - Fax:
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-567-5016
Practice Address - Fax:314-567-1846
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO119349OtherHEALTHLINK
MO739072OtherFIRST HEALTH
MO8965OtherGROUP HEALTH PLAN
MO3107776OtherCIGNA
MO4001154OtherAETNA
MO100137OtherMERCY HEALTH PLAN
MO0700151OtherUNITED HEALTHCARE
MO7374OtherHEALTHCARE USA
MO4584OtherBLUE SHIELD
MO201750916Medicaid
MO100137OtherMERCY HEALTH PLAN
MOA24046Medicare UPIN
MO8965OtherGROUP HEALTH PLAN