Individual provider Active NPI

Kelly Barton

  • Medical Physician Assistant
  • Grove City, PA
National Provider Identifier
1083795959
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002914L Issued in PA
Practice address
675 N Broad Street Ext
Suite 5
Grove City, PA 16127-5805
Phone
(724) 458-5872
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002914L PA Primary

Addresses

Primary practice location

675 N Broad Street Ext
Suite 5
Grove City, PA 16127-5805

Mailing address

675 N Broad Street Ext
Suite 5
Grove City, PA 16127-5805
Phone (724) 458-5872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001358 PA Practitioner - Physician Assistant 8628194420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002914LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2014 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jul 1, 2014 Accepting new patients
Childen'S Community Care PastSince Sep 17, 2023 Accepting new patients
Childrens Community Pediatrics Past Accepting new patients

Locations

90 Shenango St
Ste 12
Greenville, PA 16125
Phone (724) 589-0290

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

400 W Butler St
Mercer, PA 16137
Phone (724) 458-8750

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

202 Spruce Dr
Slippery Rock, PA 16057
Phone (724) 794-3358

Interoperability endpoints

  • Direct secure messaging: kelly.barton@upmcdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1083795959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N BROAD STREET EXT",
            "address_2": "SUITE 5",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161275805",
            "telephone_number": "724-458-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N BROAD STREET EXT",
            "address_2": "SUITE 5",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161275805",
            "telephone_number": "724-458-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002914L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.