Individual provider Active NPI

Barry Delaney Masin, DO

  • General Practice Physician
  • Meridian, MS
National Provider Identifier
1912538760
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34.015349 Issued in OH
Practice address
1801 Fuller Rd
Meridian, MS 39309-5106
Phone
(601) 679-3964
NPI assigned
Jan 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34.015349 OH Primary

Addresses

Primary practice location

1801 Fuller Rd
Meridian, MS 39309-5106

Mailing address

1801 Fuller Rd
Meridian, MS 39309-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200803003458 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5496170763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.015349OHMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1912538760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095106",
            "telephone_number": "601-679-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIN",
        "first_name": "BARRY",
        "middle_name": "DELANEY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.015349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.