Provider Demographics
NPI:1235199589
Name:BARKASY, MICHAEL A JR (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:BARKASY
Suffix:JR
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 1:900 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9313
Mailing Address - Country:US
Mailing Address - Phone:610-869-4627
Mailing Address - Fax:610-869-8407
Practice Address - Street 1:900 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9313
Practice Address - Country:US
Practice Address - Phone:610-869-4627
Practice Address - Fax:610-869-8407
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2075600000OtherKEYSTONE/ PERSONAL CHOICE
PA063383Q1EMedicare ID - Type Unspecified
PA2075600000OtherKEYSTONE/ PERSONAL CHOICE