Organization Active NPI

Paula J Barclay, M.D., P.C.

  • Allergy & Immunology Physician
  • Basalt, CO
National Provider Identifier
1104002492
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
PAULA J BARCLAY, M.D., P.C.
Practice address
0381 Southside Dr
Basalt, CO 81621-9170
Phone
(970) 927-3142
Fax
(970) 927-3302
NPI assigned
Jan 16, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paula Jane Barclay, M.D.NPI 1558406710
Title
President
Phone
(970) 927-3142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

0381 Southside Dr
Basalt, CO 81621-9170

Mailing address

PO Box 2600
Basalt, CO 81621-2600
Phone (970) 927-3142

Other identifiers 1

IdentifierTypeStateIssuer
01311133MedicaidCO

National Provider Directory

National Provider Directory

Locations

381 Southside Dr
Basalt, CO 81621
Phone (970) 927-3142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104002492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2600",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816212600",
            "telephone_number": "970-927-3142",
            "fax_number": "970-927-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0381 SOUTHSIDE DR",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219170",
            "telephone_number": "970-927-3142",
            "fax_number": "970-927-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA J BARCLAY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-927-3142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01311133",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.