Individual provider Active NPI

Mari Elizabeth Wargo-Dorsey, DPM

  • Foot Surgery Podiatrist
  • Blairsville, PA
National Provider Identifier
1104087980
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC006043 Issued in PA
Practice address
9218 Route 119 Hwy S
Blairsville, PA 15717-8849
Phone
(724) 762-7621
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC006043 PA Primary

Addresses

Primary practice location

9218 Route 119 Hwy S
Blairsville, PA 15717-8849

Mailing address

9218 Route 119 Hwy S
Blairsville, PA 15717-8849
Phone (724) 762-7621

Other identifiers 4

IdentifierTypeStateIssuer
201202900MedicaidIN
7100256970MedicaidKY
50053192OtherKYPASSPORT HEALTH PLAN
000000834637OtherKYANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mari.Wargo-Dorsey@360care.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408000553 PA Practitioner - Podiatry 9133398662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsight Health Care, LLCGroup PAC ID 0840338059, 32 clinicians

Practice addresses (Care Compare)

2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone 50224424205415

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
96.88 of 100Reported as group
Quality
73.37
Promoting interoperability
100
Improvement activities
40
Cost
82.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue3332
Removal or shaving of skin growth199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mari Wargo-Dorsey, DPM Current Accepting new patients
Onsight Health Care LLC CurrentSince Oct 1, 2018 Accepting new patients
Onsight Health Care LLC CurrentSince Oct 1, 2018 Accepting new patients
Onsight Health Care, LLC Past Accepting new patients
Northern Ohio Medical Specialists LLC Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

160 Medical Center Rd
Chicora, PA 16025
Phone (724) 445-2000

5 Saint Francis Way
Cranberry Twp, PA 16066
Phone (724) 772-5350

400 Hillcrest Ave
Grove City, PA 16127
Phone (724) 458-9501

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708

Interoperability endpoints

  • Direct secure messaging: mari.wargo-dorsey@360care.com
  • Direct secure messaging: mari.wargodorsey.p10@direct.360care.nextgenshare.com

Organizations & group practices 5

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1104087980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 ROUTE 119 HWY S",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178849",
            "telephone_number": "724-762-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 ROUTE 119 HWY S",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178849",
            "telephone_number": "724-762-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARGO-DORSEY",
        "first_name": "MARI",
        "middle_name": "ELIZABETH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC006043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201202900",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100256970",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50053192",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000834637",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mari.Wargo-Dorsey@360care.com",
            "affiliation": "N",
            "address_1": "9218 Route 119 Hwy S",
            "city": "Blairsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157178849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.