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NPI Code Detail

MEDICARE: DR. BARRY ALLAN WERRIES M.D.

MEDICARE: DR. BARRY ALLAN WERRIES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianME130969FL
2207X00000XOrthopaedic Surgery Physician036097626IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2200032257OTHERILRR MEDICARE
4JG213ZOTHERFLMEDICARE -FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962481366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY ALLAN WERRIES M.D.
Provider Business Mailing Address
First Line : 1005 BROADWAY ST STE B104
Second Line :
City : QUINCY
State : IL
Zip : 62301-2834
Country : US
Telephone Number : 217-223-8400
Fax Number :
Provider Business Practice Location Address
First Line : 4800 MAINE ST
Second Line :
City : QUINCY
State : IL
Zip : 62305-5875
Country : US
Telephone Number : 217-214-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 06/04/2024

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