MEDICARE: PETER STEPHEN BARRE MD

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	207XS0106X	Orthopaedic Hand Surgery Physician	35-047831	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D47831	OTHER	OH	CHOICECARE
2	000000014355	OTHER	OH	ANTHEM
3	09-20040	OTHER	OH	UNITED HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508860958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER STEPHEN BARRE MD

Provider Business Mailing Address
First Line	:	2350 MIAMI VALLEY DR
Second Line	:	STE 310
City	:	DAYTON
State	:	OH
Zip	:	45459-4778
Country	:	US
Telephone Number	:	937-435-4263
Fax Number	:	937-298-9459

Provider Business Practice Location Address
First Line	:	2350 MIAMI VALLEY DR
Second Line	:	STE 310
City	:	DAYTON
State	:	OH
Zip	:	45459-4778
Country	:	US
Telephone Number	:	937-435-4263
Fax Number	:	937-298-9459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	11/21/2013

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Directions to “ PETER STEPHEN BARRE MD” Practice Location

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