Individual provider Active NPI

Jeremy Wasik

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1841163243
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA007437 Issued in PA
Practice address
810 Clairton Blvd
Pittsburgh, PA 15236-5505
Phone
(412) 466-5004
NPI assigned
Sep 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA007437 PA Primary

Addresses

Primary practice location

810 Clairton Blvd
Pittsburgh, PA 15236-5505

Mailing address

810 Clairton Blvd Ste 100
Pittsburgh, PA 15236-5505
Phone (412) 466-5004

Other practice location 1

671 Castle Creek Drive Ext
Seven Fields, PA 16046-7800
Phone (724) 761-2020

Other practice location 2

4070 Beechwood Blvd
Pittsburgh, PA 15217-2679
Phone (412) 521-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA007437PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Plus Pediatrics PastSince Nov 8, 2025 Accepting new patients
The Childrens Institute of Pittsburgh Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1841163243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-466-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-466-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Castle Creek Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467800",
            "country_code": "US",
            "telephone_number": "724-761-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Beechwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172679",
            "country_code": "US",
            "telephone_number": "412-521-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASIK",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.