Provider Demographics
NPI:1467545830
Name:MAJIROS, DAVID A (PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:MAJIROS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 LIGONIER ST
Mailing Address - Street 2:SUITE 003
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1805
Mailing Address - Country:US
Mailing Address - Phone:724-537-9010
Mailing Address - Fax:724-537-9013
Practice Address - Street 1:911 LIGONIER ST
Practice Address - Street 2:SUITE 003
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1805
Practice Address - Country:US
Practice Address - Phone:724-537-9010
Practice Address - Fax:724-537-9013
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015621860067OtherMEDICAID GROUP NO.
NY01270355Medicaid
PA535978OtherMEDICARE GROUP NO.
PA535978OtherMEDICARE GROUP NO.
PA135004Medicare PIN
R55876Medicare UPIN