Active NPI
Courtney Lynn Edmondson, P.A.
- Physician Assistant
- Wexford, PA
National Provider Identifier
1316272891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA054078
- Practice address
- 11279 Perry Hwy
Suite 108
Wexford, PA 15090-9381 - Phone
- (724) 933-9190
- Fax
- (724) 933-9194
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dermatology Physician | 207NP0225X | MA054078 | PA | |
| Physician Assistant | 363A00000X | MA054078 | PA | Primary |
Addresses
Primary practice location
11279 Perry Hwy
Suite 108
Wexford, PA 15090-9381
Mailing address
11279 Perry Hwy
Suite 450
Wexford, PA 15090-9381
Phone (724) 933-1100
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054078 | PA | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- courtney.geiger@upmcdirect.com
Organizations & group practices 1
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.
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1316272891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11279 PERRY HWY",
"address_2": "SUITE 450",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909381",
"telephone_number": "724-933-1100",
"fax_number": "724-933-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11279 PERRY HWY",
"address_2": "SUITE 108",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909381",
"telephone_number": "724-933-9190",
"fax_number": "724-933-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDSON",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "PA",
"license": "MA054078",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.