Provider Demographics
NPI:1447225008
Name:SKEIST, BARRY PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:PHILIP
Last Name:SKEIST
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 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-888-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014591E2085R0202X
NY135965-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30114154OtherRR MEDICARE PIN
GU0OtherPA MEDICARE GROUP
PA0010117980001Medicaid
PACC9269OtherRR MEDICARE GROUP
NY00905679Medicaid
NYCC8362OtherRR MEDICARE GROUP
PAGU039853OtherPA MEDICARE GROUP
NYP00196082OtherRR MEDICARE PIN
NYRA0217Medicare PIN
PACC9269OtherRR MEDICARE GROUP
PA081641N87Medicare PIN