Individual provider Active NPI

Tyler W Kirkwood, PA-C

  • Physician Assistant
  • New Castle, PA
National Provider Identifier
1104374065
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058474 Issued in PA
Practice address
2411 Wilmington Rd
New Castle, PA 16105-1938
Phone
(724) 656-4320
NPI assigned
Sep 20, 2016
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058474 PA Primary

Addresses

Primary practice location

2411 Wilmington Rd
New Castle, PA 16105-1938

Mailing address

2411 Wilmington Rd
New Castle, PA 16105-1938
Phone (724) 656-4320

Other practice location 1

201 State St
Erie, PA 16550
Phone (814) 877-6139

Other practice location 2

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

Other practice location 3

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161027000025 PA Practitioner - Physician Assistant 6406134352 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

11360 Perry Hwy
Wexford, PA 15090-8333
Phone (724) 719-3391

1729 E State St
Upmc Gohealth Urgent Care
Hermitage, PA 16148-1863
Phone (724) 347-2083

18471 Smock Hwy
Suite 107
Meadville, PA 16335-3610
Phone (814) 333-3627

2411 Wilmington Rd
Upmc Gohealth Urgent Care
New Castle, PA 16105-1938
Phone (724) 656-4320

256 New Castle Rd
Suite C Upmc Gohealth Urgent Care
Butler, PA 16001-2576
Phone (724) 283-3627

2652 Darlington Rd
Suite 10
Beaver Falls, PA 15010-1295
Phone (724) 891-3278

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

6998 Crider Rd
Suite 100
Mars, PA 16046-2390
Phone (724) 778-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058474PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 3, 2021 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Valley Medical Facilities Inc CurrentSince Aug 1, 2018 Accepting new patients
Valley Medical Facilities Inc CurrentSince Aug 1, 2018 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 3, 2021 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

2411 Wilmington Rd
New Castle, PA 16105
Phone (724) 656-4320

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: tkirkwood20821@gohealthupmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1104374065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051938",
            "telephone_number": "724-656-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051938",
            "telephone_number": "724-656-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "16550",
            "country_code": "US",
            "telephone_number": "814-877-6139",
            "fax_number": "814-877-6093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Dutch Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099727",
            "country_code": "US",
            "telephone_number": "724-728-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Dutch Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099727",
            "country_code": "US",
            "telephone_number": "724-728-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "TYLER",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.