Elizabeth Barnes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004309 Issued in OH

Practice address

3611 Socialville-Foster Rd
Suite 101
Mason, OH 45040

Phone

(513) 454-7246

Fax

(513) 438-0202

NPI assigned

Mar 24, 2015

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1205220696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SOCIALVILLE-FOSTER RD",
            "address_2": "SUITE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-454-7246",
            "fax_number": "513-438-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SOCIALVILLE-FOSTER RD",
            "address_2": "SUITE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-454-7246",
            "fax_number": "513-438-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "004309",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "50004309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher A Balsly, D.D.S.
• Marc Benjamin Bandman
• Crystal Banks
• Rewa A Banks, CNP
• Ugoala C Banks, MD
• Peter Charles Barnett
• Dawn Marie Barot, CDMS, CCM
• Nicholas J Barsan, RPH
• Peggy L Barsan, RPH
• Melissa Lynn Basile, OT

• Physician Assistant in Mason, OH
• Providers in Mason, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.