Mona Barlow, PA

Individual provider Active NPI Physician Assistant · Mountain BRK, AL

NPI 1912474396 · NPPES record last updated Oct 24, 2018

Key facts

NPI
1912474396
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
3000 Cahaba Village PLZ Ste 110
Mountain BRK, AL 35243-5954
Phone
(205) 293-1205
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

3000 Cahaba Village PLZ Ste 110
Mountain BRK, AL 35243-5954

Mailing address

201 Ivy Brook TRL
Pelham, AL 35124-1997
Phone (205) 233-4341

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 24, 2018.

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1912474396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 IVY BROOK TRL",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241997",
            "telephone_number": "205-233-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CAHABA VILLAGE PLZ STE 110",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352435954",
            "telephone_number": "205-293-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "MONA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

All providers in Mountain BRK, AL · Physician Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.