Active NPI
Jason G Wilmoth, M.D.
- Otolaryngology Physician
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD073797L
- Practice address
- 1245 Highland Ave
Suite 502
Abington, PA 19001-3714 - Phone
- (215) 886-1482
- Fax
- (215) 886-1491
- NPI assigned
- Jun 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD073797L | PA | Primary |
Addresses
Primary practice location
1245 Highland Ave
Suite 502
Abington, PA 19001-3714
Mailing address
994 Old Eagle School Rd
Suite 1017
Wayne, PA 19087-1802
Phone (610) 902-6092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018922340001 | Medicaid | PA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 Old York Rd
Suite 122
Abington, PA 19001-3840
Phone (215) 886-1482
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD073797L | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Abington Memorial Hospital | Otolaryngology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients | |
| Otolaryngology Associates | Otolaryngology | Past | Accepting new patients |
| Womencare OB GYN, P.C. | Past | Accepting new patients | |
| Pinnacle ENT Alliance of New Jersey LLC | Past | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200
1235 Old York Rd
Ste 122
Abington, PA 19001
Phone (215) 886-1482
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
225 Newtown Rd
Fl 3
Warminster, PA 18974
Phone (215) 441-6757
2500 Maryland Rd
Ste 600
Willow Grove, PA 19090
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- Otolaryngology Physician
- Abington, PA
- NPI 1972541589
-
- Specialist
- Willow Grove, PA
- NPI 1881631166
-
- Otolaryngology/Facial Plastic Surgery Physician
- Vineland, NJ
- NPI 1104264555
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1326080185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 OLD EAGLE SCHOOL RD",
"address_2": "SUITE 1017",
"city": "WAYNE",
"state": "PA",
"postal_code": "190871802",
"telephone_number": "610-902-6092",
"fax_number": "610-902-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 HIGHLAND AVE",
"address_2": "SUITE 502",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013714",
"telephone_number": "215-886-1482",
"fax_number": "215-886-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOTH",
"first_name": "JASON",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD073797L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018922340001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.