Individual provider Active NPI

Thomas Anthony Patts, PA-C

  • Medical Physician Assistant
  • Moosic, PA
National Provider Identifier
1568410413
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001649L Issued in PA
Practice address
340 Montage Mountain Rd
Moosic, PA 18507
Phone
(570) 346-3686
Fax
(570) 558-6838
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA001649L PA Primary

Addresses

Primary practice location

340 Montage Mountain Rd
Moosic, PA 18507

Mailing address

340 Montage Mountain Rd
Moosic, PA 18507-1782
Phone (570) 346-3686

Other practice location 1

100 N Buckstown Rd Ste E100
Langhorne, PA 19047-1815
Phone (215) 249-6226

Other practice location 2

1100 E Northampton St
Laurel Run, PA 18706-9520
Phone (570) 823-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180808001712 PA Practitioner - Physician Assistant 9335497353 Reassigns benefits to 1 organization
I20240622000025 IA Practitioner - Physician Assistant 9335497353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA001649LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jun 3, 2024 Accepting new patients
Geisinger Clinc CurrentSince Jun 16, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jun 16, 2025 Accepting new patients
Genesis Health System CurrentSince Jun 3, 2024 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

100 N Academy Ave
Danville, PA 17822

340 Montage Mountain Rd
Moosic, PA 18507
Phone (570) 344-9266

Organizations & group practices 5

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1568410413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MONTAGE MOUNTAIN RD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071782",
            "telephone_number": "570-346-3686",
            "fax_number": "570-558-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MONTAGE MOUNTAIN RD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "18507",
            "telephone_number": "570-346-3686",
            "fax_number": "570-558-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Buckstown Rd Ste E100",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471815",
            "country_code": "US",
            "telephone_number": "215-249-6226",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Northampton St",
            "address_purpose": "LOCATION",
            "city": "Laurel Run",
            "state": "PA",
            "postal_code": "187069520",
            "country_code": "US",
            "telephone_number": "570-823-1171",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTS",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001649L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moosic, PA

Sources for this page

Verify at the official NPI Registry.