Katelin Malishchak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054998 Issued in PA

Practice address

425 East First St.
Bloomsburg, PA 17815-6183

Phone

(570) 416-1890

Fax

(570) 416-1892

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment
• Geisinger Clinic

  • Family Medicine Physician
  • Selinsgrove, PA
  • NPI 1508292715

  Physician Assistant

  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1144508193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE.",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 EAST FIRST ST.",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178156183",
            "telephone_number": "570-416-1890",
            "fax_number": "570-416-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALISHCHAK",
        "first_name": "KATELIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054998",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "227084",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M J Ritter, P.C
• Carly Magill
• Dana Lee Magill
• Kristin Funk Maguire, ATC
• Michael Allan Maize
• Ashlee Mallery, BCBA
• Maloney Chiropractic LLC
• Ryan Maloney, D.C.
• Amanda R. Manning, D.O.
• Swanee Barbara Marcus, CRNP

• Physician Assistant in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.