Individual provider Active NPI

Alyssa Rex Tarburton, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1407280977
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C01530 Issued in MD
Practice address
3521 Silverside Rd Ste 2J
Wilmington, DE 19810-4900
Phone
(302) 543-5454
NPI assigned
Sep 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 C01530 MD Primary

Addresses

Primary practice location

3521 Silverside Rd Ste 2J
Wilmington, DE 19810-4900

Mailing address

3521 Silverside Rd Ste 2J
Wilmington, DE 19810-4900
Phone (302) 543-5454

Other practice location 1

5 Bel Air South Pkwy
Bel Air, MD 21015-6091
Phone (410) 569-0044

Other names 1

  • Alyssa Noelle Rex Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alyssa.tarburton@107234456698884.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20160330002614 DE Practitioner - Physician Assistant 5395053656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zarek Donohue LLCGroup PAC ID 5597807008, 22 clinicians

Practice addresses (Care Compare)

3411 Silverside Rd
Suite 100
Wilmington, DE 19810-4811
Phone (302) 543-5454

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01530MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zarek Donohue LLC CurrentSince Mar 1, 2018 Accepting new patients
MNR Industries LLC Past Accepting new patients

Locations

665 Churchmans Rd
Newark, DE 19702
Phone (302) 731-0900

3521 Silverside Rd
Ste 2J
Wilmington, DE 19810
Phone (302) 543-5454

3411 Silverside Rd
Ste 100
Wilmington, DE 19810
Phone (302) 543-5454

Interoperability endpoints

  • Direct secure messaging: alyssa.tarburton@107234456698884.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1407280977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE RD STE 2J",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104900",
            "telephone_number": "302-543-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE RD STE 2J",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104900",
            "telephone_number": "302-543-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bel Air South Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156091",
            "country_code": "US",
            "telephone_number": "410-569-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARBURTON",
        "first_name": "ALYSSA",
        "middle_name": "REX",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C01530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssa.tarburton@107234456698884.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "3521 Silverside Rd Ste 2J",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "REX",
            "middle_name": "NOELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.