Anthony G Wydan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD051772L Issued in PA

Practice address

1116 Horsham Rd
Ambler, PA 19002-1143

Phone

(215) 643-8500

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Hahnemann University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Einstein Community Health Associates, Inc

  • Family Medicine Physician
  • Phila, PA
  • NPI 1558316109
  Medicare reassignment Care Compare group NPD
• Einstein Community Health Associates, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1427662931
  NPD
• Womencare OB GYN, P.C.

  • Specialist
  • Willow Grove, PA
  • NPI 1881631166
  NPD (past)

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

• Jeffhome PA, LLC.

  • Home Health Agency
  • Horsham, PA
  • NPI 1639826969
  Care Compare affiliation
• Jeffhome PA, LLC.

  • Home Health Agency
  • Norristown, PA
  • NPI 1902553233
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1427054741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 HORSHAM RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021143",
            "telephone_number": "215-643-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HORSHAM RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021143",
            "telephone_number": "215-643-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYDAN",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD051772L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alynna Williams
• Wissahickon School District
• Danelle Karen Wood Karlson, CDDONA
• Edith Woods
• Rebecca Jane Wright
• Jennifer Xu, LAT, ATC, CSCS
• Sarah Kate Yeakel, CNS, LDN
• Judith Marie Yoast, P.T.
• Carly Taylor Yost
• Dana M Young, LCSW

• Family Medicine Physician in Ambler, PA
• Providers in Ambler, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.

Verify at the official NPI Registry.