Abigail Boulos, PA-C
Individual provider Active NPI Physician Assistant · Tarentum, PA
NPI 1316870546 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1316870546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1128 Stonecrest Dr
Tarentum, PA 15084-2640 - Phone
- (724) 831-8386
- NPI assigned
- Jun 6, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1128 Stonecrest Dr
Tarentum, PA 15084-2640
Mailing address
1128 Stonecrest Dr
Tarentum, PA 15084-2640
Other providers in Tarentum, PA
- Associates in Internal Medicine
- Jeannie Baker-Piccini
- Brittany Baldwin
- Brittany Bauman
- Blackburns Physicians Pharmacy Inc
- Carol E Brand
- Paige Bryan
- Joan Bush
- Calligan Pharmacy LLC
- Camp Chiropractic
All providers in Tarentum, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.