Provider Demographics
NPI:1730164682
Name:BARRINGER, MARY ELLEN (DO)
Entity type:Individual
Prefix:
First Name:MARY ELLEN
Middle Name:
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 DARROW RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5021
Mailing Address - Country:US
Mailing Address - Phone:330-656-5911
Mailing Address - Fax:330-656-5901
Practice Address - Street 1:8401 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-6725
Practice Address - Country:US
Practice Address - Phone:330-729-2929
Practice Address - Fax:330-656-5901
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004611207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000349348OtherANTHEM
OH001474717-0001OtherPENNSYLVANIA MEDICAID
OH001474717-0005OtherPENNSYLVANIA MEDICAID
OH000000028430OtherANTHEM
OH000000381140OtherANTHEM
OH0865783Medicaid
OHBA0708701Medicare PIN
OH010047298Medicare PIN
OH000000349348OtherANTHEM
OH0865783Medicaid
OH001474717-0001OtherPENNSYLVANIA MEDICAID
OH000000381140OtherANTHEM