MEDICARE: PREMISE HEALTH OF PENNSYLVANIA MEDICAL, P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1013683531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF PENNSYLVANIA MEDICAL, P.C

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10432 PERRY HWY
Second Line	:	BAIERL HONDA CPO BUILDING 2ND FLOOR
City	:	WEXFORD
State	:	PA
Zip	:	15090
Country	:	US
Telephone Number	:	724-675-4188
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD WILLIAM SCHWARTZ
Credential	:
Telephone Number	:	844-407-7557

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	01/28/2026

Similar Medicare Providers

1619857208 — MARGARET ANNE WAGNER PA-C
Practice Location Address:

1000 STONEWOOD DR STE 200
WEXFORD, PA
15090-8386

Practice Phone: 724-778-3020
Practice Fax: 724-778-3024

1568328417 — MADISON WEIMER LLC
Practice Location Address:

6200 BROOKTREE RD
WEXFORD, PA
15090-9299

Practice Phone: 724-884-5499
Practice Fax:

1376053199 — ALEXANDER ANTHONY PERRI PA
Practice Location Address:

1500 VILLAGE RUN RD STE 308
WEXFORD, PA
15090-6316

Practice Phone: 724-934-1900
Practice Fax: 724-934-3388

1760332936 — ADRIA JEAN CODISPOT
Practice Location Address:

11676 PERRY HWY STE 2100
WEXFORD, PA
15090-7203

Practice Phone: 724-934-7722
Practice Fax:

1912866575 — TAVIS MACKENZIE TAYLOR PA-C
Practice Location Address:

170 RIDGEVIEW DR
WEXFORD, PA
15090-9432

Practice Phone: 412-849-5766
Practice Fax:

1336602945 — MELANIE CETRA MED, NCC, LBS, LPC
Practice Location Address:

16055 PERRY HWY BLDG 3
WEXFORD, PA
15090-6885

Practice Phone: 412-335-8983
Practice Fax:

Directions to “PREMISE HEALTH OF PENNSYLVANIA MEDICAL, P.C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.