Individual
DR. TIMOTHY J BARREIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3258
(330) 480-4119
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3258
(330) 480-4119
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34008256
OH
207RP1001X
Pulmonary Disease Physician
Primary
34008256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330734
ANTHEM
OH
01
—
000000336262
ANTHEM
OH
05
—
2479607
—
OH
01
—
BA4133311
PIN
OH
01
—
BA4133312
PIN
OH
01
—
H174180
MEDICARE PTAN
OH
Enumeration date
09/20/2006
Last updated
10/11/2016
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