Individual provider Active NPI

Maddison Dovenspike, PA-C

  • Surgical Physician Assistant
  • Butler, PA
National Provider Identifier
1235822008
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1 Hospital Way
Butler, PA 16001-4670
Phone
(412) 897-1435
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1 Hospital Way
Butler, PA 16001-4670

Mailing address

106 Brian Dr
Saxonburg, PA 16056-8628
Phone (724) 504-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230913002647 PA Practitioner - Physician Assistant 5890159552 Reassigns benefits to 1 organization
I20241219001932 WV Practitioner - Physician Assistant 5890159552 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Oct 21, 2024 Accepting new patients
Butler Medical Providers CurrentSince Aug 7, 2023 Accepting new patients
West Virginia University Medical Corporation Multi-Specialty CurrentSince Oct 21, 2024 Accepting new patients
Butler Medical Providers CurrentSince Aug 7, 2023 Accepting new patients
Butler Medical Providers Multi-Specialty Past Accepting new patients
West Virginia University Medical Corporation Multi-Specialty Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 202
Butler, PA 16001
Phone (844) 282-4370

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

127 Oneida Valley Rd
Ste 206
Butler, PA 16001
Phone (844) 282-4370

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

21 Franklin Village Mall
Ste 2
Kittanning, PA 16201
Phone (724) 543-1386

2602 Wilmington Rd
Ste 101
New Castle, PA 16105
Phone (724) 658-7300

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1235822008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BRIAN DR",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160568628",
            "telephone_number": "724-504-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "412-897-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVENSPIKE",
        "first_name": "MADDISON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.