NPIMap

Organization Active NPI

Essent Healthcare -Waynesburg LLC

  • Ambulatory Surgical Clinic/Center
  • Waynesburg, PA
National Provider Identifier
1477638278
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ESSENT HEALTHCARE -WAYNESBURG LLC
Doing business as
Southwest Regional Medical Center -ASC
Practice address
350 Bonar Ave
Waynesburg, PA 15370-1608
Phone
(724) 627-2752
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Stephen L. Page
Title
Vice President
Phone
(615) 844-9849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PA Primary

Addresses

Primary practice location

350 Bonar Ave
Waynesburg, PA 15370-1608

Mailing address

350 Bonar Ave
Waynesburg, PA 15370-1608
Phone (724) 627-2752

Other names 1

  • Southwest Regional Medical Center -ASC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essent Healthcare - Waynesburg LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1477638278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701608",
            "telephone_number": "724-627-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENT HEALTHCARE -WAYNESBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9849"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Regional Medical Center -ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.