Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508244146 Individual Practitioner Male Practitioner

Mario Enrique De La Barrera , PA-C

Physician Assistant • Wright Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Mario De La Barrera, PA-C is a registered healthcare professional specializing in Physician Assistant in Wright Patterson Afb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9377131237
Fax 9376563700
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wright Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Wright Patterson Afb, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Thomas Vaughn , PA-C

Physician Assistant

NPI 1063823458

Physician Assistant (Certified)

Bryan Hersch , FNP

Nurse Practitioner - Family

NPI 1144702341

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 03, 2022

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9377131237)

📍
Updated Business Mailing Address October 03, 2022

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9377131237)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2022

Physician Assistant

📍
Updated Practice Location December 08, 2021

Registered at 15TH MDG, 755 SCOTT CIRCLE, JBPH-HICKAM AFB, HI 96853 (Tel: 8084486197)

📍
Updated Business Mailing Address December 08, 2021

Registered at 15TH MDG, 755 SCOTT CIRCLE, JBPH-HICKAM AFB, HI 96853 (Tel: 8084486197)

📍
Updated Practice Location April 04, 2018

Registered at 4881 SUGAR MAPLE DR, DAYTON, OH 454335529 (Tel: 9375222532)

📍
Updated Business Mailing Address April 04, 2018

Registered at 4881 SUGAR MAPLE DR, DAYTON, OH 454335529 (Tel: 9375222532)

👤
Provider Name / Credentials Updated April 04, 2018

Recorded as MARIO DE LA BARRERA, PA-C

NPI Profile Active May 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2015

Registered at 329 COOLIDGE AVE, BILOXI, MS 395313394 (Tel: 7179659387)

📍
Updated Business Mailing Address May 15, 2015

Registered at 329 COOLIDGE AVE, BILOXI, MS 395313394

👤
Provider Name / Credentials Updated May 15, 2015

Recorded as MARIO DE LA BARRERA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508244146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2015
Last Update: March 15, 2023
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Phone: 9377131237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.