Active NPI
Western PA Surgery Center, Beaver County Branch, LLC
- Ambulatory Surgical Clinic/Center
- Aliquippa, PA
National Provider Identifier
1568060655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WESTERN PA SURGERY CENTER, BEAVER COUNTY BRANCH, LLC
- Practice address
- 103 Pleasant Dr
Aliquippa, PA 15001-1333 - Phone
- (724) 933-3810
- NPI assigned
- Oct 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Buterbaugh
- Title
- Medical Director
- Phone
- (724) 933-3850
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
103 Pleasant Dr
Aliquippa, PA 15001-1333
Mailing address
6001 Stonewood Dr
Wexford, PA 15090-7380
Phone (724) 933-3810
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bstitt@wpasc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322000102 | PA | Part B Supplier - Ambulatory Surgical Center | 1456768373 | Practice locations: Aliquippa, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Western PA Surgery Center Beaver County Branch LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2215935 | Western PA Surgery Center Beaver Co Branch LLC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Wexford, PA
- NPI 1528020187
-
- Orthopaedic Hand Surgery Physician
- Wexford, PA
- NPI 1265495667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1568060655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 STONEWOOD DR",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907380",
"telephone_number": "724-933-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PLEASANT DR",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011333",
"telephone_number": "724-933-3810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PA SURGERY CENTER, BEAVER COUNTY BRANCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-12",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "BUTERBAUGH",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "724-933-3850",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bstitt@wpasc.com",
"affiliation": "N",
"address_1": "103 Pleasant Dr",
"city": "Aliquippa",
"state": "PA",
"country_code": "US",
"postal_code": "150011333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aliquippa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.