Provider Demographics
NPI:1952373268
Name:BARCLAY, BILLY ORAL (MD)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:ORAL
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 1:1654 UPHAM DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1250
Mailing Address - Country:US
Mailing Address - Phone:614-293-9600
Mailing Address - Fax:614-293-6059
Practice Address - Street 1:1654 UPHAM DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1250
Practice Address - Country:US
Practice Address - Phone:614-293-9600
Practice Address - Fax:614-293-6059
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY170792084P0800X
OH350379062084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0294775Medicaid
IN200821220Medicaid
KY396646OtherTRICARE
KY64105596Medicaid
OHH168910Medicare PIN
KY396646OtherTRICARE
KYP00330844Medicare PIN
IN200821220Medicaid
KY00680001Medicare PIN