Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35040502B | OH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35040502B | OH |
NPI | 1255334611 |
---|---|
Provider Name | Dr. James H Barry |
First Address | Dayton, OH 45439-1674 |
Second Address | Springboro, OH 45066-9168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 04/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000227889 | ANTHEM (01) | OH |
0364510 | (05) | OH |
080191711 | RAILROAD MEDICARE (01) | OH |
40503-04 | HUMANA/CHOICECARE (01) | OH |
45658-0001 | CARESOURCE (01) | OH |
633746 | AETNA (01) | OH |
A76234 | (02) | OH |