NPIMap

Individual provider Active NPI

Paul Eugene Wawrzynski II, M.D.

  • Cardiovascular Disease Physician
  • New Castle, PA
National Provider Identifier
1861457897
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD058878L Issued in PA
Practice address
2602 Wilmington Rd
Suite 200
New Castle, PA 16105-1537
Phone
(724) 657-3204
Fax
(724) 652-7144
NPI assigned
Apr 20, 2006
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD058878L PA Primary

Addresses

Primary practice location

2602 Wilmington Rd
Suite 200
New Castle, PA 16105-1537

Mailing address

PO Box 1549
Butler, PA 16003-1549
Phone (724) 284-4060

Other identifiers 1

IdentifierTypeStateIssuer
0015838100005OtherPAPROMISE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000264 PA Practitioner - Cardiovascular Disease (Cardiology) 3971406356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

2602 Wilmington Rd
200 BHS Northwest Regional Cardiology
New Castle, PA 16105-1538
Phone (724) 657-3204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Apr 1, 2017 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2017 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

2602 Wilmington Rd
Ste 200
New Castle, PA 16105
Phone (724) 657-3204

Interoperability endpoints

  • Direct secure messaging: paul.wawrzynski@direct-address.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1861457897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-4060",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "address_2": "SUITE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-657-3204",
            "fax_number": "724-652-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZYNSKI",
        "first_name": "PAUL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD058878L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE NUMBER",
            "identifier": "0015838100005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.