Individual provider Active NPI

Adam Yesenosky

  • Surgical Physician Assistant
  • McMurray, PA
National Provider Identifier
1316025315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA052785 Issued in PA
Practice address
5000 Waterdam Plaza Dr
Suite 240
McMurray, PA 15317-5412
Phone
(724) 941-0111
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052785 PA Primary

Addresses

Primary practice location

5000 Waterdam Plaza Dr
Suite 240
McMurray, PA 15317-5412

Mailing address

5000 Waterdam Plaza Dr
Suite 240
McMurray, PA 15317-5412
Phone (724) 941-0111

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
MA052785PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Physicians of Washington LLC Past Accepting new patients
Washington Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316025315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WATERDAM PLAZA DR",
            "address_2": "SUITE 240",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175412",
            "telephone_number": "724-941-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WATERDAM PLAZA DR",
            "address_2": "SUITE 240",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175412",
            "telephone_number": "724-941-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESENOSKY",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.