Organization Active NPI

Wexford Cardiology,Inc.

  • Cardiovascular Disease Physician
  • Wexford, PA
National Provider Identifier
1457613689
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
050308L Issued in PA
Legal business name
WEXFORD CARDIOLOGY,INC.
Practice address
1000 Stonewood Dr
Suite 110
Wexford, PA 15090-8386
Phone
(724) 940-6000
NPI assigned
Jun 13, 2012
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Prudencio C Lucero, MDNPI 1497751887
Title
Physician
Phone
(724) 940-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 050308L PA Primary

Addresses

Primary practice location

1000 Stonewood Dr
Suite 110
Wexford, PA 15090-8386

Mailing address

1000 Stonewood Dr
Suite 110
Wexford, PA 15090-8386
Phone (724) 940-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000253 PA Part B Supplier - Clinic/Group Practice 5395982094 Receives reassigned benefits from 2 practitioners
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Locations

1000 Stonewood Dr
Ste 110
Wexford, PA 15090
Phone (724) 940-2290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1457613689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR",
            "address_2": "SUITE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "724-940-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR",
            "address_2": "SUITE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "724-940-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXFORD CARDIOLOGY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "PRUDENCIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-940-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "050308L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.