Active NPI
Mary E Barry, MD, PC
- Internal Medicine Physician
- Willimantic, CT
National Provider Identifier
1124395462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 025765
- Legal business name
- MARY E BARRY, MD, PC
- Practice address
- 14 Quarry St
Willimantic, CT 06226-1232 - Phone
- (860) 423-6733
- NPI assigned
- Nov 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary E Barry, M.D.
- Title
- Physician
- Phone
- (860) 423-6733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 025765 | CT | Primary |
Addresses
Primary practice location
14 Quarry St
Willimantic, CT 06226-1232
Mailing address
14 Quarry St
Willimantic, CT 06226-1232
Phone (860) 423-6733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1257658 | Medicaid | CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Willimantic, CT
- NPI 1134180789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1124395462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 QUARRY ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261232",
"telephone_number": "860-423-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 QUARRY ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261232",
"telephone_number": "860-423-6733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY E BARRY, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "860-423-6733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "025765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1257658",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.