MEDICARE: DR. BARBARA LYNN PETKOVIC DPM

Medicare Provider Information

Scope of Practice

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	36003284	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508829359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA LYNN PETKOVIC DPM

Provider Business Mailing Address
First Line	:	6200 PLEASANT AVE
Second Line	:	STE 3
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4670
Country	:	US
Telephone Number	:	513-829-9333
Fax Number	:	513-858-7827

Provider Business Practice Location Address
First Line	:	6200 PLEASANT AVE
Second Line	:	STE 3
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4670
Country	:	US
Telephone Number	:	513-829-9333
Fax Number	:	513-858-7827

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	04/27/2017

Similar Medicare Providers

1336116383 — BRIAN SHORT DPM
Practice Location Address:

6200 PLEASANT AVE , SUITE 3
FAIRFIELD, OH
45014-4670

Practice Phone: 513-829-9333
Practice Fax: 513-858-7827

1568413193 — DR. TIFFANY ORLANDO-WEBER DPM
Practice Location Address:

6200 PLEASANT AVE , SUITE 3
FAIRFIELD, OH
45014-4670

Practice Phone: 216-534-2773
Practice Fax: 513-858-7827

1336263490 — GARY L GLYNN DPM INC.
Practice Location Address:

6200 PLEASANT AVE , SUITE 3
FAIRFIELD, OH
45014-4670

Practice Phone: 513-829-9333
Practice Fax:

1942476361 — CHOICE PODIATRY ASSOCIATES INC
Practice Location Address:

6200 PLEASANT AVE , STE 3
FAIRFIELD, OH
45014-4670

Practice Phone: 513-829-9333
Practice Fax: 513-858-7827

1750816005 — EXCEL PODIATRY LLC
Practice Location Address:

6200 PLEASANT AVE , STE 3
FAIRFIELD, OH
45014-4670

Practice Phone: 513-829-9333
Practice Fax: 513-858-7827

1356485361 — DOC'S MEDICAL MART
Practice Location Address:

4670 CENTRAL WAY STE B
FAIRFIELD, CA
94534-1806

Practice Phone: 707-864-6680
Practice Fax: 707-864-1140

Directions to “ DR. BARBARA LYNN PETKOVIC DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.