Organization Active NPI

Ronald C Barry

  • Plastic Surgery Physician
  • Saginaw, MI
National Provider Identifier
1710166400
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301048769 Issued in MI
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

Updated by the provider on Apr 2, 2021

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0730876OtherMIBLUE CROSS BLUE SHIELD
2745420MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sem@svprs.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.