Basic Information
| Provider Information | |||||||||
| NPI: | 1962431338 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARCLAY | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512441 | ||||||||
| FaxNumber: | 7172603322 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 MONUMENT RD | ||||||||
| Address2: | SUITE 1100 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512441 | ||||||||
| FaxNumber: | 7172603322 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2006 | ||||||||
| LastUpdateDate: | 09/23/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD66126L | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | MD066126L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 50086647 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 7671162 | 01 | PA | AETNA | OTHER | 1582038 | 01 | PA | GATEWAY | OTHER | 30074961 | 01 | PA | AMERIHEALTH MERCY-CDA | OTHER | 302112 | 01 | PA | UNISON-CDA | OTHER | 540802 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 48858 | 01 | PA | GEISINGER | OTHER | 001718732 | 05 | PA | MEDICAID | 0017187320004 | 05 | PA | MEDICAID | 758679-05 | 01 | PA | CAREFIRST MD BC BS | OTHER |