NPIMap

Organization Active NPI

Emile a Barrow Jr MD a Medical Corp.

  • Specialist
  • Monroe, LA
National Provider Identifier
1104887538
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LO11453 Issued in LA
Legal business name
EMILE A BARROW JR MD A MEDICAL CORP.
Practice address
3510 Magnolia CV
Suite 100
Monroe, LA 71203-2372
Phone
(318) 364-9900
Fax
(318) 361-0428
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Emile Anthony Barrow, M.D.
Title
President/Owner
Phone
(318) 361-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X LO11453 LA Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X APO3699 LA

Addresses

Primary practice location

3510 Magnolia CV
Suite 100
Monroe, LA 71203-2372

Mailing address

3510 Magnolia CV
Suite 100
Monroe, LA 71203-2372
Phone (318) 364-9900

Other identifiers 2

IdentifierTypeStateIssuer
1435082MedicaidLA
1303488MedicaidLA

National Provider Directory

National Provider Directory

Locations

312 Grammont St
Ste 100
Monroe, LA 71201
Phone (318) 361-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1104887538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MAGNOLIA CV",
            "address_2": "SUITE 100",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032372",
            "telephone_number": "318-364-9900",
            "fax_number": "318-361-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MAGNOLIA CV",
            "address_2": "SUITE 100",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032372",
            "telephone_number": "318-364-9900",
            "fax_number": "318-361-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILE A BARROW JR MD A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "318-361-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "LO11453",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "APO3699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435082",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303488",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.