Basic Information
| Provider Information | |||||||||
| NPI: | 1639355241 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAROCO | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 388 | ||||||||
| Address2: | |||||||||
| City: | FISHERSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229390388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5409324075 | ||||||||
| FaxNumber: | 5409325199 | ||||||||
| Practice Location | |||||||||
| Address1: | 78 MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | FISHERSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229392332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5409324629 | ||||||||
| FaxNumber: | 5409324616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2008 | ||||||||
| LastUpdateDate: | 01/03/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 0101242759 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 352507 | 01 | VA | ANTHEM | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/COVENTRY HEALTH | OTHER | 1639355241 | 05 | VA | MEDICAID | PAR | 01 | VA | MULTIPLAN | OTHER | -032 | 01 | VA | TRICARE/CHAMPUS | OTHER | PAR | 01 | VA | VA PREMIER HEALTH | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | 08942 | 01 | NC | NC BC/BS | OTHER | 10033251 | 01 | VA | SENTARA/OPTIMA | OTHER | 5044148 | 01 | VA | CIGNA | OTHER | 3179936 | 01 | VA | UHC/MAMSI | OTHER | 5908942 | 05 | NC | MEDICAID | PAR | 01 | VA | USA MANAGED CARE | OTHER | 9702148 | 01 | VA | AETNA | OTHER | PAR | 01 | VA | VA HEALTH NETWORK | OTHER |