Barbara H Amaker, MD

Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Norfolk, VA

NPI 1114985256 · NPPES record last updated Nov 3, 2015

Key facts

NPI
1114985256
Entity type
Individual (NPI type 1)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License
0101053889 (VA)
Practice address
600 Gresham Dr
Dept. Pathology
Norfolk, VA 23507-1904
Phone
(757) 388-3221
Fax
(757) 388-3799
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101053889VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Virginia, PC Past Accepting new patients
Harris Histology Relief Services Inc Past
since May 11, 2011
Accepting new patients
Urology of Virginia PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X 0101053889 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101053889 VA Yes

Addresses

Primary practice location

600 Gresham Dr
Dept. Pathology
Norfolk, VA 23507-1904

Mailing address

PO Box 20452
PSMG-Cred
Columbus, OH 43220-0452
Phone (614) 442-2406

Other identifiers

IdentifierTypeStateIssuer
1114985256MedicaidVA

Other providers in Norfolk, VA

All providers in Norfolk, VA · Anatomic Pathology & Clinical Pathology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.