Provider Demographics
NPI:1033244983
Name:G CURTIS BARRY MD PC
Entity Type:Organization
Organization Name:G CURTIS BARRY MD PC
Other - Org Name:MID CAPE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:G
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-771-4095
Mailing Address - Street 1:489 BEARSES WAY
Mailing Address - Street 2:UNIT A-4
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2707
Mailing Address - Country:US
Mailing Address - Phone:508-771-4095
Mailing Address - Fax:508-771-9466
Practice Address - Street 1:489 BEARSES WAY
Practice Address - Street 2:UNIT A-4
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2707
Practice Address - Country:US
Practice Address - Phone:508-771-4095
Practice Address - Fax:508-771-9466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9721142Medicaid
MABOSTON MEDICAL CENTEOther000000029614
MA0005660OtherBLUE CROSS/ BLUE SHIELD
MA609560OtherTUFTS
MA0005660OtherRAIL ROAD MEDICARE
MA9721142Medicaid