Active NPI
Scott William Barry, PA-C
- Surgical Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 777 Bannock St # Mc3240
Denver, CO 80204-4597 - Phone
- (303) 436-6000
- NPI assigned
- Mar 24, 2006
- Last updated
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0206 | ND | |
| Physician Assistant | 363A00000X | 97 | MT | |
| Surgical Physician Assistant | 363AS0400X | 3112-23 | WI | |
| Surgical Physician Assistant | 363AS0400X | PA2020-0012 | NM | |
| Surgical Physician Assistant | 363AS0400X | AZ | ||
| Surgical Physician Assistant | 363AS0400X | C08711 | MD | |
| Surgical Physician Assistant | 363AS0400X | CO | Primary |
Addresses
Primary practice location
777 Bannock St # Mc3240
Denver, CO 80204-4597
Mailing address
6036 N 19TH Ave Ste 505
Phoenix, AZ 85015-2143
Phone (022) 490-8396
Other practice location 1
2635 N 7th St
Grand Jct, CO 81501-8209
Phone (970) 298-3188
Other practice location 2
6036 N 19th Ave Ste 505
Phoenix, AZ 85015-2143
Phone (602) 249-0839
Other practice location 3
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51511 | CA | MD | Oncology Pharmacist |
| 2397 | NE | MD | Speech-Language Pathologist |
| 97 | MT | MD | Physician Assistant |
| C08711 | MD | MD | Surgical Physician Assistant |
| PA2020-0012 | NM | MD | Surgical Physician Assistant |
| 3112-23 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| Paracelsus Healthcare Corp | Past | Accepting new patients | |
| St Mary's Hospital and Medical Center, Inc | Past | Accepting new patients |
Locations
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839
777 Bannock St
Denver, CO 80204
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
750 Wellington Ave
Ste 3A
Grand Junction, CO 81501
Phone (970) 248-3188
7624 Warren Pkwy
Frisco, TX 75034
Phone (469) 803-3000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
dba Abrazo Medical Group
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
dba DME - Wellington Neurosurgery Clinic
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
- NPI 1609737618
-
dba Intermountain Health Heart & Vascular - West Park Cardiology
- Cardiovascular Disease Physician
- Grand Junction, CO
- NPI 1780355156
-
dba Arizona Sports Medicine Center (ASMC)
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
-
dba St Mary's Anticoagulation Clinic
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1023228343
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Mary's CareFlight
- Ambulance
- Grand Junction, CO
- NPI 1164060877
Hospital
-
dba St Mary's Anticoagulation Clinic
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
-
dba St Mary's Hospital & Medical Center Life Center OT/PT/SP
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1821647801
-
dba Intermountain Health St Mary's Regional Hospital
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1699716027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1710947874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6036 N 19TH AVE STE 505",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152143",
"telephone_number": "022-490-8396",
"fax_number": "602-249-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST # MC3240",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [
{
"address_1": "2635 N 7th St",
"address_purpose": "LOCATION",
"city": "Grand Jct",
"state": "CO",
"postal_code": "815018209",
"country_code": "US",
"telephone_number": "970-298-3188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6036 N 19th Ave Ste 505",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152143",
"country_code": "US",
"telephone_number": "602-249-0839",
"fax_number": "602-249-0979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Carroll St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218015422",
"country_code": "US",
"telephone_number": "410-546-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "SCOTT",
"middle_name": "WILLIAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "PAC0206",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "97",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "3112-23",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NM",
"license": "PA2020-0012",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C08711",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.