IndividualActive
Jo Cooke-Barber, M.D.
NPI 1417215922 · Pediatric Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1417215922
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 74214 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7613 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4182
Phone: (260) 469-7337
Fax: (260) 469-7340
Approximate (ZIP-level) locationGet directions
Mailing address
7613 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4182
Registry dates
- Enumerated
- 2012-05-03
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.