Angela M Kattouf, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA055532 Issued in PA

Practice address

360 Westminster Dr
Huntingdon, PA 16652-2737

Phone

(814) 297-0027

NPI assigned

Jan 15, 2013

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

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleanslate Medical Group of Pennsylvania LLCGroup PAC ID 8426334400, 20 clinicians

Practice addresses (Care Compare)

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.

• Cleanslate Medical Group of Pennsylvania LLC

  • Multi-Specialty Clinic/Center
  • Wilkes Barre, PA
  • NPI 1184177263
  Medicare reassignment Care Compare group
• Upmc Altoona

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

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

  • Emergency Medicine Physician
  • Everett, PA
  • NPI 1184772113
  Medicare reassignment NPD
• Curana Health of Pennsylvania PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1679205876
  Medicare reassignment
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment
• J C Blair Medical Services Inc

  • Family Medicine Physician
  • Huntingdon, PA
  • NPI 1861575938
  Medicare reassignment
• Geisinger Clinic

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

  • Multi-Specialty Clinic/Center
  • Milton, PA
  • NPI 1679178255
  NPD
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953
  NPD
• Upmc Bedford Memorial

  • Ambulatory Surgical Clinic/Center
  • Everett, PA
  • NPI 1942345467
  NPD

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1336486034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WESTMINSTER DR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522737",
            "telephone_number": "814-297-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WESTMINSTER DR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522737",
            "telephone_number": "814-297-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Howard Ave Ste A202",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014810",
            "country_code": "US",
            "telephone_number": "814-369-1002",
            "fax_number": "814-201-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTOUF",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055532",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauranda Dawn Justice
• Tammy Justice, OFFICE MANAGER
• Zouheir Kabbara
• Lynn E Kagarise, M.S.
• Joelle B Kaminsky, PHARMD
• Elizabeth Ann Kauruter, RDN, LDN
• Galen Martin Keeney, MD
• Barb Ann Kephart
• Jeffrey Kephart
• Tammy Nichole Kessing, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.