MEDICARE: BARBARA S. ISAACS M.D.

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	207KA0200X	Allergy Physician	19892	KY

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	:	1831193788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA S. ISAACS M.D.

Provider Business Mailing Address
First Line	:	801 BARRET AVE
Second Line	:	STE 110
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-1732
Country	:	US
Telephone Number	:	502-583-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 BARRET AVE
Second Line	:	STE 110
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-1732
Country	:	US
Telephone Number	:	502-583-1023
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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