Individual provider Active NPI

Yekaterina Barg, RVT

  • Vascular Specialist/Technologist Cardiovascular
  • Reisterstown, MD
National Provider Identifier
1659847812
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
License
129653 Issued in MD
Practice address
804 Longmaid Dr
Reisterstown, MD 21136-6241
Phone
(443) 471-6039
NPI assigned
Oct 15, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist Cardiovascular 246XC2903X 129653 MD Primary

Addresses

Primary practice location

804 Longmaid Dr
Reisterstown, MD 21136-6241

Mailing address

804 Longmaid Dr
Reisterstown, MD 21136-6241
Phone (443) 471-6039

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
129653MDMDVascular Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1659847812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LONGMAID DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366241",
            "telephone_number": "443-471-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LONGMAID DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366241",
            "telephone_number": "443-471-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARG",
        "first_name": "YEKATERINA",
        "name_prefix": "Ms.",
        "credential": "RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "MD",
            "license": "129653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.