Organization
WESTERN PA SURGERY CENTER, WEXFORD BRANCH, LLC
Active
Other names
Western PA Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A BUTERBAUGH MD (MEDICAL DIRECTOR)
(724) 933-3800
Entity
Organization
Contact information
Practice address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3800
(724) 933-3801
Mailing address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3800
(724) 933-3801
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
20221501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000113869
THREE RIVERS HEALTH PLAN
PA
05
—
001829689 0002
—
PA
01
—
043308
HEALTH AMERICA
PA
01
—
1352
HIGHMARK BLUE CROSS/SHIEL
PA
01
—
1526540
GATEWAY HEALTH PLAN
PA
01
—
214838
UPMC HEALTH PLAN
PA
01
—
2299818002
CIGNA
PA
01
—
2429070
AETNA US HEALTHCARE
PA
01
—
490004868
PALMETTORAILROAD MEDICARE
GA
Enumeration date
01/25/2006
Last updated
05/10/2023
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