Individual
MATTHEW D. BARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR, SUITE 106, FORT WAYNE, IN 46845-1707
(260) 672-6550
(260) 672-6559
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01058845A
IN
208000000X
Pediatrics Physician
Primary
01058845A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337237
ANTHEM
IN
01
—
000000337241
ANTHEM
IN
01
—
15677
PHYSICIANS HEALTH PLAN
IN
05
—
200491340
—
IN
01
—
3937240021
MEDICARE DMEPOS
IN
01
—
3937240024
MEDICARE DMFPOS
IN
01
—
7482611
AETNA
—
01
—
P00160977
RAILROAD MEDICARE
—
Enumeration date
12/05/2005
Last updated
12/06/2022
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