Active NPI
Andrew D Demarco, MD
- Internal Medicine Physician
- Wexford, PA
National Provider Identifier
1972576197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD047727L
- Practice address
- 12620 Perry Hwy
Wexford, PA 15090-8662 - Phone
- (724) 933-4700
- Fax
- (412) 347-4048
- NPI assigned
- Feb 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD047727L | PA | Primary |
Addresses
Primary practice location
12620 Perry Hwy
Wexford, PA 15090-8662
Mailing address
12620 Perry Hwy
Wexford, PA 15090-8662
Phone (724) 933-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013042430014 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047727L | PA | MD | Internal Medicine Physician |
Interoperability endpoints
- andrew.demarco@121166256340996.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1972576197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12620 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908662",
"telephone_number": "724-933-4700",
"fax_number": "412-347-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12620 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908662",
"telephone_number": "724-933-4700",
"fax_number": "412-347-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "ANDREW",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD047727L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013042430014",
"state": "PA"
}
],
"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 Oct 9, 2015; 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.