Individual provider Active NPI

Marisa Lynn Barry, PA-C

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1104276468
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1340 Hal Greer Blvd
Attn Tammie Silva
Huntington, WV 25701-3804
Phone
(304) 399-6727
Fax
(304) 399-6726
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1340 Hal Greer Blvd
Attn Tammie Silva
Huntington, WV 25701-3804

Mailing address

2400 Patterson St Ste 400
Nashville, TN 37203-1575
Phone (615) 342-5900

Other practice location 1

2400 Patterson St Ste 400
Nashville, TN 37203-1575
Phone (615) 342-5900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARISA.BARRY@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161025000313 WV Practitioner - Physician Assistant 3779861877 Reassigns benefits to 2 organizations
I20200318002573 TN Practitioner - Physician Assistant 3779861877 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1986WVMDAnesthesiology Physician
3784TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell Huntington Hospital Inc Physician Assistant CurrentSince Aug 14, 2016 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Aug 14, 2016 Accepting new patients
Columbia Medical Group - the Frist Clinic Inc Physician Assistant CurrentSince Jan 14, 2020 Accepting new patients
Racine Observation Medical Group, PLLC Past Accepting new patients

Locations

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

Interoperability endpoints

  • Direct secure messaging: marisa.blatt@hca1.eclinicaldirectplus.com
  • Direct secure messaging: marisa.barry@hca1.eclinicaldirectplus.com

Organizations & group practices 7

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104276468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031575",
            "telephone_number": "615-342-5900",
            "fax_number": "615-342-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "address_2": "ATTN TAMMIE SILVA",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-399-6727",
            "fax_number": "304-399-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Patterson St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031575",
            "country_code": "US",
            "telephone_number": "615-342-5900",
            "fax_number": "615-342-5912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "MARISA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-01-04",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARISA.BARRY@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St Ste 400",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.