Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Barry J Wanninger, PA-C

Individual provider Physician Assistant · NPI 1407109499

Barry J Wanninger, PA-C is a Physician Assistant in Fairfield, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 Mack Rd
Fairfield, OH 45014-5335
Phone: (516) 870-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003612 (OH)

Record details

NPI number1407109499
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2012
Last updated in NPPESOctober 31, 2012

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