Individual provider Active NPI

Lucas E Dvorchak, PA-C

  • Medical Physician Assistant
  • Weirton, WV
National Provider Identifier
1598050502
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
601 Colliers Way
Weirton, WV 26062
Phone
(724) 322-6152
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

601 Colliers Way
Weirton, WV 26062

Mailing address

836 Florida Ave
Pittsburgh, PA 15228-2015
Phone (724) 322-6152

Other practice location 1

3024 Washington Pike
Bridgeville, PA 15017-1404
Phone (412) 221-5475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110824000666 WV Practitioner - Physician Assistant 9739359076 Reassigns benefits to 1 organization
I20220316001779 PA Practitioner - Physician Assistant 9739359076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians
Mark P. Seraly, MD, PCGroup PAC ID 6204021843, 6 clinicians

Practice addresses (Care Compare)

1535 Washington Rd
Upmc Gohealth Urgent Care
Pittsburgh, PA 15228-1621
Phone (412) 531-1585

222 E McMurray Rd
MC Murray, PA 15317-2948
Phone (724) 969-2500

3024 Washington Pike
Upmc Gohealth Urgent Care
Bridgeville, PA 15017-1404
Phone (412) 221-5475

3840 Washington Rd
Suite 300 Upmc Gohealth Urgent Care
McMurray, PA 15317-2919
Phone (724) 941-3273

460 Washington Rd
Suite 7 Upmc Gohealth Urgent Care
Washington, PA 15301-2765
Phone (724) 225-3627

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

617 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 543-8150

695 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 653-5556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
542WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Mar 7, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Mar 7, 2022 Accepting new patients
Emergency Medicine Physicians of Brooke County, PLLC Past Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

3024 Washington Pike
Bridgeville, PA 15017
Phone (412) 221-5475

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: ldvorchak20784@gohealthupmc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1598050502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FLORIDA AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282015",
            "telephone_number": "724-322-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "724-322-6152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Washington Pike",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "150171404",
            "country_code": "US",
            "telephone_number": "412-221-5475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORCHAK",
        "first_name": "LUCAS",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.