Active NPI
Stephen F Wawrose, MD
- Otolaryngology Physician
- Bethel Park, PA
National Provider Identifier
1013942564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD058860L
- Practice address
- 2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1841 - Phone
- (412) 831-7570
- Fax
- (412) 854-6149
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD058860L | PA | Primary |
Addresses
Primary practice location
2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1841
Mailing address
2000 Oxford Dr
Suite 201
Bethel Park, PA 15102-1841
Phone (412) 831-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015913200011 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD058860L | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Hills ENT Association | Otolaryngology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Otolaryngology | Current | Accepting new patients |
Locations
2000 Oxford Dr
Ste 201
Bethel Park, PA 15102
Phone (412) 831-7570
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849
Interoperability endpoints
- swawrose181964@direct-guthrie.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Otolaryngology Physician
- Pittsburgh, PA
- NPI 1639100852
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Otolaryngology Physician
- Sayre, PA
- NPI 1760434112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1013942564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 OXFORD DR",
"address_2": "SUITE 201",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151021841",
"telephone_number": "412-831-7570",
"fax_number": "412-854-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OXFORD DR",
"address_2": "SUITE 201",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151021841",
"telephone_number": "412-831-7570",
"fax_number": "412-854-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWROSE",
"first_name": "STEPHEN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD058860L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015913200011",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.