Wolf Creek Medical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WOLF CREEK MEDICAL ASSOCIATES

Practice address

647 N Broad Street Ext
Wolf Creek Medical Associates
Grove City, PA 16127-4604

Phone

(724) 450-7004

Fax

(724) 450-7013

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanne L Blake

Title

Practice Administrator

Phone

(724) 450-7004

Specialties & licenses 6

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Grove City Medical Center

  • General Acute Care Hospital
  • Grove City, PA
  • NPI 1023000296

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Steven Hellman, PA-C

  • Surgical Physician Assistant
  • Coraopolis, PA
  • NPI 1740660562
  NPD (past)
• Kyle Robert Jackson, PA

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1104007301
  NPD (past)
• Kevin Rohm

  • Medical Physician Assistant
  • Pittsburgh, PA
  • NPI 1386994333
  NPD (past)
• Rosemarie Seibert, CRNP

  • Family Nurse Practitioner
  • Grove City, PA
  • NPI 1750808598
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376546754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 N BROAD STREET EXT",
            "address_2": "WOLF CREEK MEDICAL ASSOCIATES",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274604",
            "telephone_number": "724-450-7004",
            "fax_number": "724-450-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 N BROAD STREET EXT",
            "address_2": "WOLF CREEK MEDICAL ASSOCIATES",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274604",
            "telephone_number": "724-450-7004",
            "fax_number": "724-450-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CREEK MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "724-450-7004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001960970",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rose Wiley, OT/L
• Kelly Marie Williamson, RN
• Wise Physical Therapy and Sports Medicine LLC
• Melinda Wise
• Scott Allan Wise
• Harold Martin Wrigley, MD
• Donald Harold Wykoff, EDD
• Yih-Songko, MD, P.C.
• George Michael Yute, P.T.
• John H. Zabkar, M.D.

• Surgery Physician in Grove City, PA
• Providers in Grove City, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.