Provider Demographics
NPI:1558366096
Name:BARCH, CYRIL A (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRIL
Middle Name:A
Last Name:BARCH
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 1:104 SELMA DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3834
Mailing Address - Country:US
Mailing Address - Phone:540-678-2800
Mailing Address - Fax:
Practice Address - Street 1:104 SELMA DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3834
Practice Address - Country:US
Practice Address - Phone:540-678-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0073032000Medicaid
MD649991100Medicaid
VA006079946Medicaid
43942OtherCOMMUNITYHEALTH SENTARA
2119568OtherMAMSI
VA082415OtherSOUTHERN HEALTH
VA210816OtherANTHEM BCBS
502794OtherNCPPO
MD649991100Medicaid
VA006079946Medicaid
VA110126115Medicare ID - Type UnspecifiedRAILROAD MEDICARE PGBA