Healthcare Provider Details

I. General information

NPI: 1588861710
Provider Name (Legal Business Name): JOHN BABER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 IRMC DR STE 110
INDIANA PA
15701-3674
US

IV. Provider business mailing address

320 E NORTH AVE FL 2
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 724-357-8135
  • Fax: 724-357-8138
Mailing address:
  • Phone: 412-359-3005
  • Fax: 412-359-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOS015735
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS015735
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS015735
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS015735
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: