RICHARD WAYNE MONDAK MPAS PA-C NPI 1720078017

NPI Information

NPI: 1720078017
Provider Name: RICHARD WAYNE MONDAK, MPAS PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
510 JAMISON AVE
ELLWOOD CITY, PA
ZIP 16117
Phone: (724) 716-6742
Get Directions

Richard Wayne Mondak, MPAS PA-C is a medical physician assistant in Ellwood City, PA. Richard Wayne Mondak, MPAS PA-C NPI is 1720078017. 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:

510 JAMISON AVE
ELLWOOD CITY, PA
ZIP 16117-590
Phone: (724) 716-6742
Fax: (724) 734-5798

The enumeration date for this NPI number is 10/27/2005 and was last updated on 11/29/2016.

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	363AM0700X	Physician Assistant	Medical	MA002019L	PENNSYLVANIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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