MARK WILLIAM TRAUGH P.A. NPI 1558340026

NPI Information

  • NPI: 1558340026
  • Provider Name: MARK WILLIAM TRAUGH, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 708 W FOREST AVE
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 425-6280

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NPI Details

Mark William Traugh, P.A. is a medical physician assistant in Jackson, TN. Mark William Traugh, P.A. NPI is 1558340026. 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:

708 W FOREST AVE
JACKSON, TN
ZIP 38301-901
Phone: (731) 425-6280
Fax: (731) 425-4922

The enumeration date for this NPI number is 1/12/2006 and was last updated on 7/8/2007.

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
1363AM0700XPhysician AssistantMedicalPA558TENNESSEEYes

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
1R99015MEDICARE UPINTENNESSEE
23667548MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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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