Tracy Lynn Maalouf, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA001492L Issued in PA

Practice address

407 W Jefferson St Ste B
Butler, PA 16001-5485

Phone

(724) 283-1005

Fax

(724) 283-4612

NPI assigned

Oct 5, 2006

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD (past)
• Tony M. Maalouf, M.D.,P.C.

  • Specialist
  • Butler, PA
  • NPI 1881898518
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1376639443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DEER RUN DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012873",
            "telephone_number": "724-482-4188",
            "fax_number": "724-283-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W JEFFERSON ST STE B",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015485",
            "telephone_number": "724-283-1005",
            "fax_number": "724-283-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAALOUF",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA001492L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Robert Lutz, PA-C
• Luxottica of America Inc (Pearle Vision #6283)
• Luxottica Retail North America Inc (Sears Optical #1723)
• Rachelle C Lyons
• Tony Maurice Maalouf, M.D.
• Leigh Macallister
• Jenna Lynn Macek, MSN, CRNP, FNP-C
• Darren Machak, DO
• James Eugene Madigan, DMD
• Denise Emilie Maher, RPH

• Surgical Physician Assistant in Butler, PA
• Providers in Butler, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.