Individual provider Active NPI

William R Arsenault, PA-C

  • Medical Physician Assistant
  • Holtwood, PA
National Provider Identifier
1528090339
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA002822 Issued in PA
Practice address
199 Bethesda Church Rd W
West
Holtwood, PA 17532-9746
Phone
(717) 875-8377
NPI assigned
Jul 6, 2006
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA002822 PA Primary
Medical Physician Assistant 363AM0700X C03537 MD
Medical Physician Assistant 363AM0700X MA055032 PA

Addresses

Primary practice location

199 Bethesda Church Rd W
West
Holtwood, PA 17532-9746

Mailing address

199 Bethesda Church Rd W
West
Holtwood, PA 17532-9746
Phone (717) 875-8377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000313 MD Practitioner - Physician Assistant 6901983980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Critical Care Associates, LLCGroup PAC ID 4587754528, 28 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Phone (410) 836-0128

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PA Emergency Physicians PLLC Past Accepting new patients
Emergency Medicine Physicians of York County, LTD Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1528090339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BETHESDA CHURCH RD W",
            "address_2": "WEST",
            "city": "HOLTWOOD",
            "state": "PA",
            "postal_code": "175329746",
            "telephone_number": "717-875-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 BETHESDA CHURCH RD W",
            "address_2": "WEST",
            "city": "HOLTWOOD",
            "state": "PA",
            "postal_code": "175329746",
            "telephone_number": "717-875-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSENAULT",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA002822",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C03537",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtwood, PA

Sources for this page

Verify at the official NPI Registry.