Active NPI
Western PA Surgery Center, Wexford Branch, LLC
Doing business as Western PA Surgery Center
- Ambulatory Surgical Clinic/Center
- Wexford, PA
National Provider Identifier
1447220082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 20221501
- Legal business name
- WESTERN PA SURGERY CENTER, WEXFORD BRANCH, LLC
- Doing business as
- Western PA Surgery Center
- Practice address
- 6001 Stonewood Dr
Wexford, PA 15090-7380 - Phone
- (724) 933-3800
- Fax
- (724) 933-3801
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn A Buterbaugh, MD
- Title
- Medical Director
- Phone
- (724) 933-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 20221501 | PA | Primary |
Addresses
Primary practice location
6001 Stonewood Dr
Wexford, PA 15090-7380
Mailing address
6001 Stonewood Dr
Wexford, PA 15090-7380
Phone (724) 933-3800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000113869 | Other | PA | THREE RIVERS HEALTH PLAN |
| 1352 | Other | PA | HIGHMARK BLUE CROSS/SHIEL |
| 1526540 | Other | PA | GATEWAY HEALTH PLAN |
| 001829689 0002 | Medicaid | PA | |
| 2299818002 | Other | PA | CIGNA |
| 214838 | Other | PA | UPMC HEALTH PLAN |
| 490004868 | Other | GA | PALMETTORAILROAD MEDICARE |
| 043308 | Other | PA | HEALTH AMERICA |
| 2429070 | Other | PA | AETNA US HEALTHCARE |
Other names 1
- Western PA Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060516000044 | PA | Part B Supplier - Ambulatory Surgical Center | 1052322542 | Practice locations: Wexford, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Western PA Surgery Center Wexford Branch LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1447220082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 STONEWOOD DR",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907380",
"telephone_number": "724-933-3800",
"fax_number": "724-933-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 STONEWOOD DR",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907380",
"telephone_number": "724-933-3800",
"fax_number": "724-933-3801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PA SURGERY CENTER, WEXFORD BRANCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "BUTERBAUGH",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "724-933-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "PA",
"license": "20221501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS HEALTH PLAN",
"identifier": "000000113869",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS/SHIEL",
"identifier": "1352",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1526540",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001829689 0002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2299818002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "214838",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTORAILROAD MEDICARE",
"identifier": "490004868",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "043308",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2429070",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Western PA Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Western PA Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wexford, PA
- James Robert Werkmeister, D.M.D., M.S.
- Stacy Wessner
- West Penn Allegheny Health System Inc
- West Penn Allegheny Health System, Inc (AHN Wexford Hospital)
- Julia West
- Western Pennsylvania Hand Center (Hand & Shoulder Center)
- Western Pennsylvania Hand Center (Hand & Shoulder Center)
- Western Pennsylvania Hand Center (Hand & Shoulder Center)
- Western Pennsylvania Hand Center (Hand & Shoulder Center)
- Wexford Allergy Asthma & Immunology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.