Individual provider Active NPI

Timothy Merglowski, P.A.

  • Medical Physician Assistant
  • Waynesburg, PA
National Provider Identifier
1790765352
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002586L Issued in PA
Practice address
343 E Roy Furman Hwy
Waynesburg, PA 15370-8084
Phone
(724) 627-8080
Fax
(724) 852-7510
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002586L PA Primary

Addresses

Primary practice location

343 E Roy Furman Hwy
Waynesburg, PA 15370-8084

Mailing address

343 E Roy Furman Hwy
Waynesburg, PA 15370-8084
Phone (724) 627-8080

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
I20100415000079 PA Practitioner - Physician Assistant 8224165766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

343 E Roy Furman Hwy
Waynesburg, PA 15370-8084

Hospital & facility affiliations

  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA002586LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services CurrentSince Feb 20, 2010 Accepting new patients
Health Futures Inc Past Accepting new patients

Locations

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

343 E Roy Furman Hwy
Ste 105
Waynesburg, PA 15370
Phone (724) 222-5635

343 E Roy Furman Hwy
Waynesburg, PA 15370
Phone (724) 627-8080

Interoperability endpoints

  • Direct secure messaging: timothy.merglowski@whc.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1790765352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E ROY FURMAN HWY",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708084",
            "telephone_number": "724-627-8080",
            "fax_number": "724-852-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E ROY FURMAN HWY",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708084",
            "telephone_number": "724-627-8080",
            "fax_number": "724-852-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGLOWSKI",
        "first_name": "TIMOTHY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002586L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.