| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1437139854 | SCHALLUS | WILLIAM | P | 12311 PERRY HWY | WEXFORD | PA | 150908344 | |
| 1174555668 | SORUM WINLAND | KAARI | KRISTEN | 12311 PERRY HWY | WEXFORD | PA | 150908344 | |
| 1609834324 | VASSILIEV | DMITRI | 12311 PERRY HWY | WEXFORD | PA | 150908344 |