Healthcare Provider Details

I. General information

NPI: 1053897652
Provider Name (Legal Business Name): SETH PARKER WORTHING PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 HOSPITAL RD
INDIANA PA
15701-3629
US

IV. Provider business mailing address

405 BELLA VISTA DR
JOHNSTOWN PA
15904-2259
US

V. Phone/Fax

Practice location:
  • Phone: 724-357-7000
  • Fax:
Mailing address:
  • Phone: 973-615-7965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA062469
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: