Active NPI
Dustyn G Pastors, PA-C
- Medical Physician Assistant
- Wexford, PA
National Provider Identifier
1861998676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA059732
- Practice address
- 7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376 - Phone
- (724) 933-0300
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | MA059732 | PA | Primary |
Addresses
Primary practice location
7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Mailing address
7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Phone (724) 933-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093733933 | Other | OFFICE NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2239 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Community Care | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- dustyn.pastors@upmcdirect.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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1861998676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 STONEWOOD DR STE 151",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907376",
"telephone_number": "724-933-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 STONEWOOD DR STE 151",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907376",
"telephone_number": "724-933-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORS",
"first_name": "DUSTYN",
"middle_name": "G",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA059732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE NPI",
"identifier": "1093733933",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.