Individual provider Active NPI

Joshua David Wilbur, PA-C

  • Medical Physician Assistant
  • Dickson City, PA
National Provider Identifier
1003546094
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063602 Issued in PA
Practice address
334 Main St
Dickson City, PA 18519-1668
Phone
(570) 307-1767
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 029929 NY
Physician Assistant 363A00000X MA063602 PA
Medical Physician Assistant 363AM0700X MA063602 PA Primary

Addresses

Primary practice location

334 Main St
Dickson City, PA 18519-1668

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220711001211 PA Practitioner - Physician Assistant 0840670683 Reassigns benefits to 2 organizations
I20230620001863 NY Practitioner - Physician Assistant 0840670683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

5950 Sr
6 Suite 101
Tunkhannock, PA 18657-7905
Phone (570) 836-4294

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
029929NYMDMassage Therapist
MA063602PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2024 Accepting new patients
Guthrie Medical Group, P.C, CurrentSince Apr 21, 2024 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Apr 21, 2024 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Physician Assistant CurrentSince Jun 21, 2023 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

100 Hospital Dr
Montrose, PA 18801
Phone (570) 278-3801

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

5950 Sr 6
Tunkhannock, PA 18657
Phone (570) 836-6139

5950 Sr 6
Ste 101
Tunkhannock, PA 18657
Phone (570) 836-4294

Interoperability endpoints

  • Direct secure messaging: jwilbur225167@direct-guthrie.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1003546094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "570-307-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029929",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063602",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.