Healthcare Provider Details

I. General information

NPI: 1316006000
Provider Name (Legal Business Name): KATINA GEIGER BARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 W PERIMETER RD
JB ANDREWS MD
20762-6602
US

IV. Provider business mailing address

1060 W PERIMETER RD
JB ANDREWS MD
20762-6602
US

V. Phone/Fax

Practice location:
  • Phone: 240-612-1140
  • Fax: 240-612-2983
Mailing address:
  • Phone: 402-612-1140
  • Fax: 240-612-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0059108
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: