Active NPI
Mary Anne Barnicle, M.D.
- Gastroenterology Physician
- Indiana, PA
National Provider Identifier
1689636144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD038816E
- Practice address
- 1265 Wayne Ave
Suite 208
Indiana, PA 15701-2776 - Phone
- (724) 463-8850
- Fax
- (724) 463-7072
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD038816E | PA | Primary |
Addresses
Primary practice location
1265 Wayne Ave
Suite 208
Indiana, PA 15701-2776
Mailing address
1265 Wayne Ave.
Suite 208
Indiana, PA 15701-2776
Phone (724) 463-8850
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1769333 | Other | PW | HIGHMARK BC BS |
| 0014015970003 | Medicaid | PA | |
| 078917 | Other | PA | HIGHMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1689636144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE.",
"address_2": "SUITE 208",
"city": "INDIANA",
"state": "PA",
"postal_code": "157012776",
"telephone_number": "724-463-8850",
"fax_number": "724-463-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE",
"address_2": "SUITE 208",
"city": "INDIANA",
"state": "PA",
"postal_code": "157012776",
"telephone_number": "724-463-8850",
"fax_number": "724-463-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNICLE",
"first_name": "MARY ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD038816E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "1769333",
"state": "PW"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014015970003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "078917",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.