Organization Active NPI

Wahl & Son's Family Practice, P.C.

  • Family Medicine Physician
  • Harmony, PA
National Provider Identifier
1467630079
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD040649L Issued in PA
Legal business name
WAHL & SON'S FAMILY PRACTICE, P.C.
Practice address
835 Edmund St
Harmony, PA 16037-9109
Phone
(724) 452-7370
Fax
(724) 452-8599
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Jeffry Ross Wahl, M.D.NPI 1063417087
Title
Owner/President
Phone
(724) 452-7370

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD040649L PA Primary

Addresses

Primary practice location

835 Edmund St
Harmony, PA 16037-9109

Mailing address

835 Edmund St
Harmony, PA 16037-9109
Phone (724) 452-7370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000937 PA Part B Supplier - Clinic/Group Practice 2062450281 Receives reassigned benefits from 1 practitioner
Practice locations: Harmony, PA

National Provider Directory

National Provider Directory

Locations

835 Edmund St
Harmony, PA 16037
Phone (724) 452-7370

Practitioners & affiliated clinicians

Practitioners 1

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1467630079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 EDMUND ST",
            "city": "HARMONY",
            "state": "PA",
            "postal_code": "160379109",
            "telephone_number": "724-452-7370",
            "fax_number": "724-452-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 EDMUND ST",
            "city": "HARMONY",
            "state": "PA",
            "postal_code": "160379109",
            "telephone_number": "724-452-7370",
            "fax_number": "724-452-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHL & SON'S FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "724-452-7370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD040649L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harmony, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.