NPIMap

Individual provider Active NPI

Lucas Wade Irwin, D.O.

  • Family Medicine Physician
  • Philipsburg, PA
National Provider Identifier
1023544210
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS019619 Issued in PA
Practice address
1061 N Front St Ste 2
Philipsburg, PA 16866-8257
Phone
(814) 376-6200
Fax
(814) 376-6215
NPI assigned
May 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS019619 PA Primary
Family Medicine Physician 207Q00000X OT017622 PA

Addresses

Primary practice location

1061 N Front St Ste 2
Philipsburg, PA 16866-8257

Mailing address

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7100

Other practice location 1

502 Park Ave
Clearfield, PA 16830-2100
Phone (814) 765-2950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200831002201 PA Practitioner - Family Practice 4183994965 Reassigns benefits to 1 organization
I20231026000616 SC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4183994965 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1061 N Front St
2 Mount Nittany Physician Group
Philipsburg, PA 16866-8257
Phone (814) 376-6200

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Conemaugh Home Health Home health agency, Johnstown, PA, CCN 397406
  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Aug 7, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 7, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 7, 2023 Accepting new patients
Regenesis Organization Community Health Center Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 7, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 7, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1061 N Front St
Ste 2
Philipsburg, PA 16866
Phone (814) 231-7888

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEHGBD

Organizations & group practices 9

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1023544210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7100",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N FRONT ST STE 2",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668257",
            "telephone_number": "814-376-6200",
            "fax_number": "814-376-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168302100",
            "country_code": "US",
            "telephone_number": "814-765-2950",
            "fax_number": "814-765-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "LUCAS",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019619",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT017622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.