Active NPI
Jesus M Maysonet, M.D.
- Anesthesiology Physician
- Glen Dale, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20024
- Practice address
- 800 Wheeling Ave
Glen Dale, WV 26038-1660 - Phone
- (304) 845-3211
- Fax
- (304) 843-3202
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD457679 | PA | |
| Anesthesiology Physician | 207L00000X | 20024 | WV | Primary |
Addresses
Primary practice location
800 Wheeling Ave
Glen Dale, WV 26038-1660
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Other practice location 2
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20024 | WV | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Professional Anesthesia Service,Inc. | Anesthesiology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
1001 S George St
York, PA 17403
Phone (717) 812-7687
55 Monument Rd
York, PA 17403
Phone (717) 741-5257
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
110 Roane St
Charleston, WV 25302
Phone (304) 344-0096
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Interoperability endpoints
- jmaysonet137009@wellspan.direct-ci.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Chambersburg, PA
- NPI 1487366274
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1265531925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WHEELING AVE",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381660",
"telephone_number": "304-845-3211",
"fax_number": "304-843-3202"
}
],
"practiceLocations": [
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-812-7687",
"fax_number": "717-851-5250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Monument Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035023",
"country_code": "US",
"telephone_number": "717-812-6425",
"fax_number": "717-851-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYSONET",
"first_name": "JESUS",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD457679",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "20024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Dale, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.