Provider Demographics
NPI:1962431338
Name:BARCLAY, PETER MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:MICHAEL
Last Name:BARCLAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2441
Mailing Address - Fax:717-260-3322
Practice Address - Street 1:30 MONUMENT RD
Practice Address - Street 2:SUITE 1100
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5024
Practice Address - Country:US
Practice Address - Phone:717-851-2441
Practice Address - Fax:717-260-3322
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD66126L207R00000X
PAMD066126L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50086647OtherCAPITAL BLUE CROSS
PA7671162OtherAETNA
PA1582038OtherGATEWAY
PA30074961OtherAMERIHEALTH MERCY-CDA
PA302112OtherUNISON-CDA
PA540802OtherHIGHMARK BLUE SHIELD
PA48858OtherGEISINGER
PA001718732Medicaid
PA0017187320004Medicaid
PA758679-05OtherCAREFIRST MD BC BS
PA30074961OtherAMERIHEALTH MERCY-CDA
PA48858OtherGEISINGER
PA7671162OtherAETNA
PA110181527Medicare PIN