NPIMap

Individual provider Active NPI

Haney Wahba, MD

  • Family Medicine Physician
  • Clarksburg, PA
National Provider Identifier
1538147921
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD041067E Issued in PA
Practice address
29 Saltsburg Rd
Clarksburg, PA 15725-7400
Phone
(724) 726-0300
Fax
(724) 726-8812
NPI assigned
Jan 5, 2006
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD041067E PA Primary

Addresses

Primary practice location

29 Saltsburg Rd
Clarksburg, PA 15725-7400

Mailing address

PO Box 716
100 Shenango Avenue
Sharon, PA 16146-0716
Phone (724) 726-0300

Other identifiers 1

IdentifierTypeStateIssuer
0018680050003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000021 PA Practitioner - Family Practice 1254347594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

29 Saltsburg Rd
Clarksburg, PA 15725-7400
Phone (724) 726-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Mar 1, 2006 Accepting new patients
Primary Health Network CurrentSince Mar 1, 2006 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Primary Health Network Family Medicine Past Accepting new patients
Mercy Primary Care, Inc Past Accepting new patients

Locations

1701 12th Ave
Altoona, PA 16601
Phone (814) 942-9600

29 Saltsburg Rd
Clarksburg, PA 15725
Phone (724) 726-0300

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

529 Lloyd Ave
Latrobe, PA 15650
Phone 7247048886406

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

Interoperability endpoints

  • Direct secure messaging: haneywahba@primaryhn.medalliesdirect.net

Organizations & group practices 5

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 4

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1538147921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "address_2": "100 SHENANGO AVENUE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161460716",
            "telephone_number": "724-726-0300",
            "fax_number": "724-726-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SALTSBURG RD",
            "city": "CLARKSBURG",
            "state": "PA",
            "postal_code": "157257400",
            "telephone_number": "724-726-0300",
            "fax_number": "724-726-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBA",
        "first_name": "HANEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD041067E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018680050003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, PA

Sources for this page

Verify at the official NPI Registry.