1033244983 NPI number — G CURTIS BARRY MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033244983 NPI number — G CURTIS BARRY MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
G CURTIS BARRY MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MID CAPE MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033244983
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
489 BEARSES WAY
Provider Second Line Business Mailing Address:
UNIT A-4
Provider Business Mailing Address City Name:
HYANNIS
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02601-2707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-771-4095
Provider Business Mailing Address Fax Number:
508-771-9466

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
489 BEARSES WAY
Provider Second Line Business Practice Location Address:
UNIT A-4
Provider Business Practice Location Address City Name:
HYANNIS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02601-2707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-771-4095
Provider Business Practice Location Address Fax Number:
508-771-9466
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARRY
Authorized Official First Name:
G
Authorized Official Middle Name:
CURTIS
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
508-771-4095

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9721142 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: BOSTON MEDICAL CENTE . This is a "000000029614" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0005660 . This is a "BLUE CROSS/ BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 609560 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0005660 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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