Healthcare Provider Details

I. General information

NPI: 1982163945
Provider Name (Legal Business Name): JENNIFER LYNN BARBADORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE. - ML 2003
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE. - ML 2003
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4200
  • Fax:
Mailing address:
  • Phone: 513-636-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number35.144338
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: