NPIMap

Individual provider Active NPI

Peter W Wilson, PA-C

  • Surgical Physician Assistant
  • Washington, PA
National Provider Identifier
1932201019
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA052493 Issued in PA
Practice address
95 Leonard Ave
Building 1, Suite 202
Washington, PA 15301-3368
Phone
(724) 206-0610
Fax
(724) 503-4156
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052493 PA Primary

Addresses

Primary practice location

95 Leonard Ave
Building 1, Suite 202
Washington, PA 15301-3368

Mailing address

520 Jefferson Ave
Jeannette, PA 15644-2538
Phone (724) 527-8060

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
I20070103000062 PA Practitioner - Physician Assistant 8325048010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, 750 clinicians

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-9001

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

348 Donohoe Rd
Greensburg, PA 15601-6988
Phone (724) 552-0068

532 W Pittsburgh St
Greensburg, PA 15601-2239

8775 Norwin Ave
North Huntingdon, PA 15642-2718

Hospital & facility affiliations

  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052493PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Washington Physician Services Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 204
Latrobe, PA 15650
Phone (724) 532-1118

911 Ligonier St
Ste 003
Latrobe, PA 15650
Phone (724) 537-4321

Interoperability endpoints

  • Direct secure messaging: peterwilson@emg.allscriptsdirect.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1932201019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BUILDING 1, SUITE 202",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-206-0610",
            "fax_number": "724-503-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PETER",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.