NPIMap

Organization Active NPI

Washington Physician Services

Doing business as Waterdam Pediatrics

  • Pediatrics Physician
  • McMurray, PA
National Provider Identifier
1275617474
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WASHINGTON PHYSICIAN SERVICES
Doing business as
Waterdam Pediatrics
Practice address
2001 Waterdam Plaza Dr
Ste 105
McMurray, PA 15317-5416
Phone
(724) 942-6499
Fax
(724) 942-6498
NPI assigned
Oct 24, 2006
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Maureen Scanlon
Title
Executive Director
Phone
(724) 229-1756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2001 Waterdam Plaza Dr
Ste 105
McMurray, PA 15317-5416

Mailing address

2001 Waterdam Plaza Dr
Ste 105
McMurray, PA 15317-5416
Phone (724) 942-6499

Other identifiers 1

IdentifierTypeStateIssuer
0015918490027MedicaidPA

Other names 1

  • Waterdam Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Washington Phys Service36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

2001 Waterdam Plaza Dr
Ste 105
McMurray, PA 15317
Phone (412) 941-6424

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1275617474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WATERDAM PLAZA DR",
            "address_2": "STE 105",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175416",
            "telephone_number": "724-942-6499",
            "fax_number": "724-942-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WATERDAM PLAZA DR",
            "address_2": "STE 105",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175416",
            "telephone_number": "724-942-6499",
            "fax_number": "724-942-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-229-1756"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015918490027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterdam Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waterdam Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.