Individual provider Active NPI

William C Dorgan, PA-C

  • Medical Physician Assistant
  • Glen Mills, PA
National Provider Identifier
1043628183
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060229 Issued in PA
Practice address
600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053
Phone
(800) 321-9999
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 NC
Physician Assistant 363A00000X C5-0001382 DE
Medical Physician Assistant 363AM0700X MA060229 PA Primary

Addresses

Primary practice location

600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (008) 321-9999

Other practice location 1

252 Carter Dr Ste 101
Middletown, DE 19709-5858
Phone (302) 655-9494

Other practice location 2

4923 Ogletown Stanton Rd Ste 300
Newark, DE 19713-2081
Phone (302) 655-9494

Other practice location 3

3401 Brandywine Pkwy Ste 101
Wilmington, DE 19803-1554
Phone (302) 655-9494

Other practice location 4

1096 Old Churchmans Rd
Newark, DE 19713-2102
Phone (302) 655-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150302002478 NC Practitioner - Physician Assistant 8426374836
I20181217000127 PA Practitioner - Physician Assistant 8426374836 Reassigns benefits to 2 organizations
I20231030002602 NJ Practitioner - Physician Assistant 8426374836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

400 Enterprise Dr
FL 2
Limerick, PA 19468-1218
Phone (800) 321-9999

510 Township Line Rd
FL 1
Blue Bell, PA 19422-2721
Phone (800) 321-9999

600 Evergreen Dr
201 Rothman Institute
Glen Mills, PA 19342-1053
Phone (800) 321-9999

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0001382DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 16, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jul 1, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 27, 2018 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 16, 2023 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Jul 1, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 27, 2018 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

510 Township Line Rd
Ste 110
Blue Bell, PA 19422
Phone (900) 321-9999

600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Organizations & group practices 7

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 11

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1043628183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "008-321-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EVERGREEN DR STE 201",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421053",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Carter Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095858",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4923 Ogletown Stanton Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132081",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Brandywine Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198031554",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1096 Old Churchmans Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132102",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORGAN",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001382",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.