Active NPI
Maddison Dovenspike, PA-C
- Surgical Physician Assistant
- Butler, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Multi-Specialty | Current | Accepting new patients |
| Butler Medical Providers | Current | 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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Multi-Specialty, WV
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Psychiatry Physician
- Butler, PA
- NPI 1487149381
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Family Medicine Physician
- Ranson, WV
- NPI 1215785563
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Butler, PA
- NPI 1447283031
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.