Basic Information
Provider Information
NPI: 1558756858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARLOWE
FirstName: DANIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: HEARTLAND ANESTHESIA CONSULTANTS, P.S.C.
Address2: 639 NORTH MULBERRY STREET
City: ELIZABETHTOWN
State: KY
PostalCode: 427011931
CountryCode: US
TelephoneNumber: 2707374600
FaxNumber: 2707371722
Practice Location
Address1: 530 S JACKSON ST
Address2: ROOM C2A03
City: LOUISVILLE
State: KY
PostalCode: 402021675
CountryCode: US
TelephoneNumber: 5028521732
FaxNumber: 5028526056
Other Information
ProviderEnumerationDate: 04/02/2015
LastUpdateDate: 04/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
281P00000X  N HospitalsChronic Disease Hospital 
207L00000XR3704KYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home