Organization Active NPI

Sylva Medical Practice, PLLC

  • Community Health Clinic/Center
  • Waynesburg, PA
National Provider Identifier
1831801992
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SYLVA MEDICAL PRACTICE, PLLC
Practice address
175 Progress Dr
Waynesburg, PA 15370-8082
Phone
(724) 852-2902
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. Jean Sylvestre Ayissi Essono, CRNPNPI 1588211239
Title
Doctor
Phone
(445) 544-0210

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X Primary
Prison Health Clinic/Center 261QP2400X

Addresses

Primary practice location

175 Progress Dr
Waynesburg, PA 15370-8082

Mailing address

137 Valencia Rd
Renfrew, PA 16053-9459
Phone (445) 544-0210

Other practice location 1

50 Overlook Dr
LA Belle, PA 15450-1050
Phone (724) 364-2200

National Provider Directory

National Provider Directory

Locations

50 Overlook Dr
La Belle, PA 15450
Phone (724) 364-2200

175 Progress Dr
Waynesburg, PA 15370
Phone (724) 627-4281

Practitioners & affiliated clinicians

Practitioners 5

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": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1831801992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 VALENCIA RD",
            "city": "RENFREW",
            "state": "PA",
            "postal_code": "160539459",
            "telephone_number": "445-544-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PROGRESS DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708082",
            "telephone_number": "724-852-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Overlook Dr",
            "address_purpose": "LOCATION",
            "city": "LA Belle",
            "state": "PA",
            "postal_code": "154501050",
            "country_code": "US",
            "telephone_number": "724-364-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYLVA MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "AYISSI ESSONO",
        "authorized_official_first_name": "JEAN SYLVESTRE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "445-544-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.