MEDICARE: BARRY L KATCHINOFF & ASSOCIATES P C

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
1	174400000X	Specialist	0101035727	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	130008251	OTHER	VA	RAILROAD MEDICARE PIN

Other Identifiers

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

General Provider Information

NPI Number	:	1073652442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRY L KATCHINOFF & ASSOCIATES P C

Provider Business Mailing Address
First Line	:	7305 BOULDER VIEW LN
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4953
Country	:	US
Telephone Number	:	804-272-6828
Fax Number	:	804-320-0966

Provider Business Practice Location Address
First Line	:	7305 BOULDER VIEW LN
Second Line	:
City	:	N CHESTERFIELD
State	:	VA
Zip	:	23225-4953
Country	:	US
Telephone Number	:	804-272-6828
Fax Number	:	804-320-0966

Authorized Official
Title or Position	:	OWNER
Name	:	BARRY L KATCHINOFF
Credential	:	M.D.
Telephone Number	:	804-272-6828

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	09/08/2015

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