Individual provider Active NPI

Amy Elizabeth Betschart, P.A.-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1144598087
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055243 Issued in PA
Practice address
11676 Perry Highway
Suite 2305
Wexford, PA 15090-7200
Phone
(724) 935-9133
Fax
(724) 935-8711
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 MA055243 PA Primary

Addresses

Primary practice location

11676 Perry Highway
Suite 2305
Wexford, PA 15090-7200

Mailing address

11676 Perry Highway
Suite 2305
Wexford, PA 15090-7200
Phone (724) 935-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055243PAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1144598087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11676 PERRY HIGHWAY",
            "address_2": "SUITE 2305",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907200",
            "telephone_number": "724-935-9133",
            "fax_number": "724-935-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11676 PERRY HIGHWAY",
            "address_2": "SUITE 2305",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907200",
            "telephone_number": "724-935-9133",
            "fax_number": "724-935-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETSCHART",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.