Individual provider Active NPI

Jason D. Oberdick, PA-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1316027774
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003384L Issued in PA
Practice address
1000 Stonewood Dr Ste 200
Wexford, PA 15090-8386
Phone
(724) 778-3020
Fax
(724) 778-3024
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003384L PA Primary

Addresses

Primary practice location

1000 Stonewood Dr Ste 200
Wexford, PA 15090-8386

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-7190

Other practice location 1

5750 Centre Ave Ste 500
Pittsburgh, PA 15206-3789
Phone (412) 683-5211

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jason.oberdick@forefrontdermatology.emadirect.md
Direct Messaging Address jason.oberdick@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000450 PA Practitioner - Physician Assistant 8820999899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1000 Stonewood Dr
Suite 200
Wexford, PA 15090-8386
Phone (724) 778-3020

180 Fort Couch Rd
Suite 200
Pittsburgh, PA 15241-1046
Phone (412) 595-0430

5750 Centre Ave
Suite 500
Pittsburgh, PA 15206-3789
Phone (412) 683-5211

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA003384LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jul 26, 2016 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jul 26, 2016 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

4727 Friendship Ave
Ste 300
Pittsburgh, PA 15224
Phone (412) 683-5211

5750 Centre Ave
Ste 500
Pittsburgh, PA 15206
Phone (412) 661-2336

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

1000 Stonewood Dr
Ste 200
Wexford, PA 15090
Phone (724) 778-3020

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1316027774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-7190",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "724-778-3020",
            "fax_number": "724-778-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Centre Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063789",
            "country_code": "US",
            "telephone_number": "412-683-5211",
            "fax_number": "412-683-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERDICK",
        "first_name": "JASON",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003384L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.oberdick@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1000 Stonewood Dr Ste 200",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.oberdick@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5750 Centre Ave Ste 500",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152063789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.