Pamela J Weakland, P.A.
Individual provider Active NPI Physician Assistant · California, PA
NPI 1881685386 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1881685386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA002067L (PA)
- Practice address
- 1152 Wood St
California, PA 15419-1260 - Phone
- (724) 938-2122
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002067L | PA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002067L | PA | Yes |
Addresses
Primary practice location
1152 Wood St
California, PA 15419-1260
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007288440095 | Medicaid | PA |
Other providers in California, PA
- Ronald W Wagner
- Washington Physician Services Organization
- Anthony Louis Watkins
- Kyra Watkins
- Jonathan D Watson
- Jamie Weary
- Stephanie N Weekley Nino
- Kelsey Elizabeth Wentworth
- Wesclare Corporation
- Ellen Jo West
All providers in California, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.