Provider Demographics
NPI:1831167972
Name:TRAVELING MEDICAL SERVICES PC
Entity type:Organization
Organization Name:TRAVELING MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARNA
Authorized Official - Suffix:
Authorized Official - Credentials:PA, DPM
Authorized Official - Phone:248-581-4437
Mailing Address - Street 1:PO BOX 998
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-0998
Mailing Address - Country:US
Mailing Address - Phone:248-581-4437
Mailing Address - Fax:313-636-2320
Practice Address - Street 1:7445 ALLEN RD
Practice Address - Street 2:SUITE 280
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1963
Practice Address - Country:US
Practice Address - Phone:248-569-2695
Practice Address - Fax:248-569-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700F312990OtherBLUE CROSS BLUE SHIELD
0P06370Medicare ID - Type Unspecified
MI0N82770Medicare ID - Type Unspecified
MI700F312990OtherBLUE CROSS BLUE SHIELD
0P06380Medicare ID - Type Unspecified
MI0M26130Medicare ID - Type Unspecified
0N34800Medicare ID - Type Unspecified