KENNY WAYNE BARROW JR. (NPI# 1073524443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073524443 |
| Entity Type | Individual |
| Full Name | KENNY WAYNE BARROW JR. |
| Credential | PA-C |
| Practice Address |
2800 Ashton Dr Suite 100 Wilmington NC 28412-2486 |
| Mailing Address |
Po Box 4217 Wilmington NC 28406-1217 |
| Practice Telephone | 9107948892 |
| Practice Fax Number | 9107948895 |
| Mailing Telephone | 9107948892 |
| Mailing Fax Number | 9107948895 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103772 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2800 ASHTON DR SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912007 | Jeffrey Probst | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2006-04-18 |
| 1033583653 | Shelton Prosthetics and Orthotics | Orthotist | 2800 Ashton Dr, 201, Wilmington, NC 28412-2575 | 2015-11-19 |
| 1063801793 | Eileen Lazecko | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2015-01-19 |
| 1801198726 | Paul D Theiss | Physician Assistant | 2800 Ashton Dr, 200, Wilmington, NC 28412-2575 | 2010-11-29 |
| 1770783805 | Peter Gemelli | Physical Medicine & Rehabilitation | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2575 | 2007-07-18 |
| 1316164775 | Coastal Rehabilition Associates | Psychologist | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2575 | 2007-04-19 |
| 1265576557 | Cameron Paige Tatone | Nurse Practitioner | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412-2575 | 2007-02-19 |
| 1386787174 | Thomas Eric Melin | Neurological Surgery | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412-2575 | 2007-02-14 |
| 1942308895 | Coastal Neurosurgical Asssociates and Spine Center Pa | Neurological Surgery | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412 | 2006-09-21 |
| 1295746659 | Erica Lynn Christensen | Physician Assistant | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2575 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.