Wahl Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAHL FAMILY PRACTICE PC

Practice address

109 Technology Drive
Suite a
Butler, PA 16001-1785

Phone

(724) 431-0300

Fax

(724) 431-0301

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Michael Wahl, MDNPI 1265423404

Title

Owner

Phone

(724) 431-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Michael J Wahl, MD

  • Family Medicine Physician
  • Butler, PA
  • NPI 1265423404
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1649299603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "address_2": "SUITE 201",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-431-0300",
            "fax_number": "724-431-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TECHNOLOGY DRIVE",
            "address_2": "SUITE A",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011785",
            "telephone_number": "724-431-0300",
            "fax_number": "724-431-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHL FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-431-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016934940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Thomas Voit, D.C.
• David Carl Vojna, LCSW
• Tia Marie Vollmer, DPT
• Marsha Wagner, LPC
• Sarah J Wagner, MS, LPC
• Michael J Wahl, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• G. William Walker, D.M.D., M.A.G.D.

• Family Medicine Physician in Butler, PA
• Providers in Butler, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.