Healthcare Provider Details

I. General information

NPI: 1710736863
Provider Name (Legal Business Name): MATTHEW ROBERT BARBARA AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7392 BURLINGTON PIKE
FLORENCE KY
41042-1551
US

IV. Provider business mailing address

421 MADISON AVE
COVINGTON KY
41011-1519
US

V. Phone/Fax

Practice location:
  • Phone: 859-283-1771
  • Fax:
Mailing address:
  • Phone: 513-576-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02512
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number295446
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: