MARAPOSA SURGICAL INC. NPI 1508014697

NPI Information

  • NPI: 1508014697
  • Provider Name: MARAPOSA SURGICAL INC.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 900 CHESTNUT STREET EXT
    STE A
    BRADFORD, PA
    ZIP 16701
  • Phone: (814) 368-8490

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NPI Details

MARAPOSA SURGICAL INC. is a vascular surgery surgery in Bradford, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MARAPOSA SURGICAL INC. NPI is 1508014697. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 CHESTNUT STREET EXT
STE A
BRADFORD, PA
ZIP 16701-298
Phone: (814) 368-8490
Fax: (814) 368-8041

The provider's authorized official is Robert Wayne Tahara .
The authorized official title is President and has the following contact phone number (814) 368-8490.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 3/23/2016.

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
1208600000XSurgeryMD419351PENNSYLVANIANo
22086S0129XSurgeryVascular SurgeryMD419351PENNSYLVANIAYes

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: 11/21/2025

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