MEDICARE: DR. GUY BARNABA DEL PRINCE D.P.M.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	2972	OH

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	480021052	OTHER	OH	RR MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1525116	OTHER	OH	UMHA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000116450	OTHER		ANTHEM
4	1156710001	OTHER	OH	DMERC

NPI Number	:	1427051317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUY BARNABA DEL PRINCE D.P.M.

Provider Business Mailing Address
First Line	:	2139 W PROSPECT RD
Second Line	:	EL GRANDE STEAKHOUSE PLAZA
City	:	ASHTABULA
State	:	OH
Zip	:	44004-6439
Country	:	US
Telephone Number	:	440-998-7505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 W PROSPECT RD
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-6439
Country	:	US
Telephone Number	:	440-998-7505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/18/2017

2143 WEST PROSPECT ROAD
ASHTABULA, OH
44004-6439

Practice Phone: 440-992-4499
Practice Fax: 440-992-8013