Michael Nathan Mentzer, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA054294 Issued in PA

Practice address

1307 Federal St
Second Floor
Pittsburgh, PA 15212-4769

Phone

(877) 660-6777

Fax

(412) 359-8055

NPI assigned

Feb 7, 2011

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1871899039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "MICHAEL",
        "middle_name": "NATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health America Allegheny County
• Mental Health Specialists LLC (Bright Water Therapy)
• David Mente, LPC
• Kayla Mento, MA, ATR-P
• Jennifer M Mentz, CRNP
• Sarah M. Menz, D.O.
• Brandon Meola
• Merakey Pennsylvania
• Merakey Pennsylvania
• Merakey Pennsylvania

• Surgical Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, 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 Sep 27, 2023; 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.