Active NPI
Ronald C Barry
- Plastic Surgery Physician
- Saginaw, MI
National Provider Identifier
1710166400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 4301048769
- Legal business name
- RONALD C BARRY
- Practice address
- 4677 Towne Ctr
Ste 105
Saginaw, MI 48604-2846 - Phone
- (989) 791-1634
- Fax
- (989) 791-0428
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald C Barry
- Title
- Owner
- Phone
- (989) 791-1634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301048769 | MI | Primary |
Addresses
Primary practice location
4677 Towne Ctr
Ste 105
Saginaw, MI 48604-2846
Mailing address
4677 Towne Ctr
Ste 105
Saginaw, MI 48604-2846
Phone (989) 791-1634
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0730876 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2745420 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sem@svprs.com |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- sem@svprs.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617321600000",
"number": "1710166400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4677 TOWNE CTR",
"address_2": "STE 105",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042846",
"telephone_number": "989-791-1634",
"fax_number": "989-791-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4677 TOWNE CTR",
"address_2": "STE 105",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042846",
"telephone_number": "989-791-1634",
"fax_number": "989-791-0428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD C BARRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-791-1634"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MI",
"license": "4301048769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0730876",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2745420",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sem@svprs.com",
"affiliation": "N",
"address_1": "4677 Towne Ctr",
"address_2": "Ste 105",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486042846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.