MRS. TRACY LYNN MAALOUF PA C NPI 1376639443

NPI Information

NPI: 1376639443
Provider Name: MRS. TRACY LYNN MAALOUF, PA C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
407 W JEFFERSON ST STE B
BUTLER, PA
ZIP 16001
Phone: (724) 283-1005
Get Directions

MRS. Tracy Lynn Maalouf, PA C is a surgical physician assistant in Butler, PA. MRS. Tracy Lynn Maalouf, PA C NPI is 1376639443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

407 W JEFFERSON ST STE B
BUTLER, PA
ZIP 16001-485
Phone: (724) 283-1005
Fax: (724) 283-4612

The NPI 1376639443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 10/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA001492L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S68251	MEDICARE UPIN	PENNSYLVANIA
2	525439QJD	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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