Woodrow P Barry, P.A.
Individual provider Active NPI Physician Assistant · Marion, OH
NPI 1205950565 · NPPES record last updated Feb 10, 2014
Key facts
- NPI
- 1205950565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50-00-0440 (OH)
- Practice address
- 1069 Delaware Ave
Ste. 205
Marion, OH 43302-1400 - Phone
- (740) 223-3496
- Fax
- (740) 382-6463
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-00-0440 | OH | Yes |
Addresses
Primary practice location
1069 Delaware Ave
Ste. 205
Marion, OH 43302-1400
Mailing address
1069 Delaware Ave
Ste. 205
Marion, OH 43302-1400
Phone (740) 223-3496
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.