Provider Demographics
NPI:1811930290
Name:BARROW, DANIELLE M (MD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:BARROW
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 1:1 SEAGATE STE 800
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:419-690-7580
Mailing Address - Fax:419-697-7703
Practice Address - Street 1:2751 BAY PARK DR
Practice Address - Street 2:SUITE 302
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-4921
Practice Address - Country:US
Practice Address - Phone:419-690-7580
Practice Address - Fax:419-697-7703
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.3087917207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000486927OtherANTHEM
OHP00336445OtherRRMC
OH2658897Medicaid
OH7644877OtherAETNA
OH06183OtherPARAMOUNT
MI4893781Medicaid
MI4893781Medicaid
OH7644877OtherAETNA
OH$$$$$$$$$OtherHNFS
OH2658897Medicaid