Individual provider Active NPI

Mary Katherine Wray, PA-C

  • Physician Assistant
  • Uniontown, PA
National Provider Identifier
1558618264
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055639 Issued in PA
Practice address
325 McClellandtown Rd
Uniontown, PA 15401-5096
Phone
(724) 439-3627
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055639 PA Primary

Addresses

Primary practice location

325 McClellandtown Rd
Uniontown, PA 15401-5096

Mailing address

325 McClellandtown Rd
Uniontown, PA 15401-5096
Phone (724) 439-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20121116000163 PA Practitioner - Physician Assistant 9436300613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

1020 Ctr Ave
Pittsburgh, PA 15229-1724
Phone (412) 931-3066

3601 McKnight E Dr
Pittsburgh, PA 15237-6400
Phone (412) 369-9943

9104 Babcock Blvd
Suite 3111
Pittsburgh, PA 15237-5818
Phone (412) 366-2960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055639PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Sep 6, 2016 Accepting new patients

Locations

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

9104 Babcock Blvd
Ste 3111
Pittsburgh, PA 15237
Phone (412) 364-5490

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1558618264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MCCLELLANDTOWN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015096",
            "telephone_number": "724-439-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MCCLELLANDTOWN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015096",
            "telephone_number": "724-439-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.