Active NPI
Barry Reed Cover, M.D.
- Internal Medicine Physician
- Port Clinton, OH
National Provider Identifier
1043304751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-03-2526
- Practice address
- 621 Fulton St
Port Clinton, OH 43452 - Phone
- (419) 732-6520
- Fax
- (419) 734-5414
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-03-2526 | OH | Primary |
Addresses
Primary practice location
621 Fulton St
Port Clinton, OH 43452
Mailing address
621 Fulton St
Port Clinton, OH 43452
Phone (419) 732-6520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211837 | Other | OH | ANTHEM BCBS OF OHIO |
| 0201267 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043304751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 FULTON ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "43452",
"telephone_number": "419-732-6520",
"fax_number": "419-734-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 FULTON ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "43452",
"telephone_number": "419-732-6520",
"fax_number": "419-734-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVER",
"first_name": "BARRY",
"middle_name": "REED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-03-2526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF OHIO",
"identifier": "211837",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0201267",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.