MR. WILLIAM JAMES MAZZOCCO PA-C NPI 1174598304

NPI Information

  • NPI: 1174598304
  • Provider Name: MR. WILLIAM JAMES MAZZOCCO, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: TYRONE HOSPITAL
    ONE HOSPITAL DRIVE
    TYRONE, PA
    ZIP 16686
  • Phone: (814) 684-6374

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NPI Details

MR. William James Mazzocco, PA-C is a medical physician assistant in Tyrone, PA. MR. William James Mazzocco, PA-C NPI is 1174598304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

TYRONE HOSPITAL
ONE HOSPITAL DRIVE
TYRONE, PA
ZIP 16686
Phone: (814) 684-6374
Fax: (814) 684-6320

The NPI 1174598304 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 2/21/2006 and was last updated on 3/7/2023.

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
1363A00000XPhysician Assistant540ALASKANo
2363AM0700XPhysician AssistantMedicalMA000991LPENNSYLVANIAYes

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: 3/30/2025

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