William James Mazzocco Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA000991L Issued in PA

Practice address

Tyrone Hospital
One Hospital Drive
Tyrone, PA 16686

Phone

(814) 684-6374

Fax

(814) 684-6320

NPI assigned

Feb 21, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc Altoona

  dba Altoona Emergency Physicians

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1497831655
  Medicare reassignment NPD
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953
  NPD
• Lexington Hospitalists, Inc.

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1467409680
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174598304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 73",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489718",
            "telephone_number": "814-696-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TYRONE HOSPITAL",
            "address_2": "ONE HOSPITAL DRIVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "16686",
            "telephone_number": "814-684-6374",
            "fax_number": "814-684-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOCCO",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "540",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000991L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Anthony Lani, M.D.
• April Layton, RRT
• Stefanie Maire Lieb, DPT
• Lighthouse Medical, LLC (Central PA Pain Management)
• Kent Long, OTR/L
• Francis J McClain, DMD
• John Bernard McIntosh, ED.D., LPC, CAC
• Ashley McManigal, FNP
• Med Center Pharmacy
• Christine Zuba Miles, OTR

• Medical Physician Assistant in Tyrone, PA
• Providers in Tyrone, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.