MR. BRENT JON BARBER (NPI# 1487626222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487626222 |
| Entity Type | Individual |
| Full Name | MR. BRENT JON BARBER |
| Credential | M.D. |
| Practice Address |
535 N Wilmot Rd Suite #101 Tucson AZ 85711 |
| Mailing Address |
2701 E Elvira Rd Tucson AZ 85756-7124 |
| Practice Telephone | 5206949988 |
| Practice Fax Number | 5206949917 |
| Mailing Telephone | 5206266508 |
| Mailing Fax Number | 5206266571 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
32932 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RR MEDICARE | P00231035 | 01 |
| AZ | 514910 | 05 | |
| AZ | GROUP MEDICARE NUMBER | ZWCGCR | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6261 N La Cholla Blvd Ste 1, Tucson, AZ 857413565 | 5205450930 | 5203235008 |
| 2424 N Wyatt Dr Ste 260, Tucson, AZ 857126118 | 5205450930 | 5203235008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014065 | Brent A. Barber | Internal Medicine | 933 Red Apple Rd, Wenatchee, WA 98801-3370 | 2005-06-23 |
| Street Address |
535 N WILMOT RD SUITE #101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234068 | Jeffrey Scott Dixon | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2020-01-17 |
| 1285142638 | Matthew Moffitt | Psychologist | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2018-01-19 |
| 1689189052 | Lisa Ann Rauch | Counselor | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2017-12-07 |
| 1578910485 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-20 |
| 1568818649 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-09 |
| 1760847180 | Carol Watters | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2015-12-30 |
| 1255717773 | Jennie Jacob | Physical Therapist | 535 N Wilmot Rd, Children's Multispecialty Center: Newborn Follow Up, Tucson, AZ 85711-2600 | 2015-08-06 |
| 1871994350 | Terry Eisenberg Carrilio | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2014-09-15 |
| 1912320110 | Allison Nicole Crawford | Nurse Practitioner | 535 N Wilmot Rd, Ste 101, Tucson, AZ 85711 | 2014-01-24 |
| 1629206115 | Victoria Ana Sanguineti | Internal Medicine | 535 N Wilmot Rd, Suite 101, Tucson, AZ 85711-2600 | 2009-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099615 | Jesus Carlos Macias | Pediatrics | 5983 E Grant Rd Ste 117, Tucson, AZ 85712-2366 | 2006-05-12 |
| 1396718524 | Richard Donnerstein | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-02-08 |
| 1174058036 | Preston Joseph Boyer | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-04-27 |
| 1992804280 | Scott Edward Klewer | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-09-22 |
| 1487751947 | Daniela Lax | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-09-19 |
| 1386699510 | Gregory M Nichols | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-05-24 |
| 1629041470 | Stanley Julian Goldberg | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760660369 | John P Breinholt IIi | Pediatrics | Pediatric Cardiology, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2008-02-06 |
| 1104999887 | Wayne Chiavacci | Pediatrics | 1832 S 8th Ave, Yuma, AZ 85364-5517 | 2006-11-17 |
| 1316956709 | Christopher L Lindblade | Pediatrics | 10250 N 92nd St Ste 212, Scottsdale, AZ 85258-4519 | 2006-08-05 |
| 1366467094 | John Henry Stock | Pediatrics | 7505 S Mcclintock Dr, Suite 103, Tempe, AZ 85283-5042 | 2006-07-13 |
| 1649203480 | Clifton Worsham | Pediatrics | 5757 W Thunderbird Rd Ste E353, Glendale, AZ 85306-4688 | 2006-07-07 |
| 1336178607 | Jennifer Mary Rutledge | Pediatrics | 4327 E Lupine Ave, Phoenix, AZ 85028-2230 | 2006-06-30 |
| 1063455178 | Daniel E Miga | Pediatrics | 1432 S Dobson Rd Ste 512, Mesa, AZ 85202-4778 | 2006-06-14 |
| 1124079546 | Shabib A Alhadheri | Pediatrics | 936 W. Chandler Blvd., Suite #2, Chandler, AZ 85225 | 2006-05-12 |
| 1306826896 | Erik G Ellsworth | Pediatrics | 1501 N Gilbert Rd Ste 203, Gilbert, AZ 85234-2394 | 2006-01-19 |
| 1851376883 | Ernerio T. Alboliras | Pediatrics | 9440 E Ironwood Square Dr, Scottsdale, AZ 85258-4569 | 2005-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.