Individual provider Active NPI

William Syska, PA-C

  • Medical Physician Assistant
  • Pottstown, PA
National Provider Identifier
1104051424
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA000552L Issued in PA
Practice address
1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone
(610) 970-4700
Fax
(610) 970-5635
NPI assigned
May 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA000552L PA Primary

Addresses

Primary practice location

1603 E High St
Suite a
Pottstown, PA 19464-5061

Mailing address

1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone (610) 970-4700

Other identifiers 1

IdentifierTypeStateIssuer
103202601-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Spine and Sports Physicians, PC CurrentSince Mar 16, 2015 Accepting new patients

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

1603 E High St
Ste A
Pottstown, PA 19464
Phone (610) 327-2400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1104051424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E HIGH ST",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645061",
            "telephone_number": "610-970-4700",
            "fax_number": "610-970-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E HIGH ST",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645061",
            "telephone_number": "610-970-4700",
            "fax_number": "610-970-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSKA",
        "first_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-17",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000552L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103202601-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.