Healthcare Provider Details

I. General information

NPI: 1457695108
Provider Name (Legal Business Name): MARTINA BARBIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2483
US

IV. Provider business mailing address

2004 LASALLE ST
SUPERIOR CO
80027-8188
US

V. Phone/Fax

Practice location:
  • Phone: 504-703-8433
  • Fax:
Mailing address:
  • Phone: 815-275-2461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number350758
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: