Individual provider Active NPI

Jason G Wilmoth, M.D.

  • Otolaryngology Physician
  • Abington, PA
National Provider Identifier
1326080185
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD073797L Issued in PA
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

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018922340001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000278 PA Practitioner - Otolaryngology 5890713176 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD073797LPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Jun 14, 2023 Accepting new patients
Abington Memorial Hospital CurrentSince Jun 1, 2011 Accepting new patients
Abington Memorial Hospital Otolaryngology CurrentSince Jun 1, 2011 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jun 14, 2023 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Otolaryngology Associates Otolaryngology PastSince Apr 1, 2006 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.