Jaya Barina, MD
Individual provider Active NPI Primary Care Clinic/Center · Arnold, MO
NPI 1447486246 · NPPES record last updated Oct 21, 2015
Key facts
- NPI
- 1447486246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 2015012457 (MO)
- Practice address
- 1296 Jeffco Blvd
Arnold, MO 63010-2138 - Phone
- (636) 321-8600
- Fax
- (636) 321-8602
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015012457 | MO | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 2015012457 | MO | Yes |
Addresses
Primary practice location
1296 Jeffco Blvd
Arnold, MO 63010-2138
Mailing address
1296 Jeffco Blvd
Arnold, MO 63010-2138
Phone (636) 321-8600
Other providers in Arnold, MO
- Danielle Bamvakais
- Lezley Bantolina
- Grace Barbagallo
- Whitney Barbre
- Stephanie A Bardgett
- Sara Elizabeth Barker
- Joseph Barnard
- Kenneth A Barrett
- Breland Basler
- Clarice Basler
All providers in Arnold, MO · Primary Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.