Active NPI
David A Majiros, PA
- Physician Assistant
- Latrobe, PA
National Provider Identifier
1467545830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 911 Ligonier St
Suite 003
Latrobe, PA 15650-1805 - Phone
- (724) 537-9010
- Fax
- (724) 537-9013
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
911 Ligonier St
Suite 003
Latrobe, PA 15650-1805
Mailing address
911 Ligonier St
Suite 003
Latrobe, PA 15650-1805
Phone (724) 537-9010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015621860067 | Other | PA | MEDICAID GROUP NO. |
| 01270355 | Medicaid | NY | |
| 535978 | Other | PA | MEDICARE GROUP NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003942 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1467545830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 LIGONIER ST",
"address_2": "SUITE 003",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501805",
"telephone_number": "724-537-9010",
"fax_number": "724-537-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 LIGONIER ST",
"address_2": "SUITE 003",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501805",
"telephone_number": "724-537-9010",
"fax_number": "724-537-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJIROS",
"first_name": "DAVID",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NO.",
"identifier": "0015621860067",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01270355",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NO.",
"identifier": "535978",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.