Organization Active NPI

Western PA Surgery Center, Beaver County Branch, LLC

  • Ambulatory Surgical Clinic/Center
  • Aliquippa, PA
National Provider Identifier
1568060655
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Glenn ButerbaughNPI 1528020187
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL Bstitt@wpasc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 39C0001367
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2215935Western PA Surgery Center Beaver Co Branch LLC103 Pleasant Drive, Aliquippa, PA 15001Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.