Healthcare Provider Details

I. General information

NPI: 1467126672
Provider Name (Legal Business Name): LINDSAY N SCALA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4044 ROUTE 130 STE 200
IRWIN PA
15642-7808
US

IV. Provider business mailing address

3824 NORTHERN PIKE STE 700
MONROEVILLE PA
15146-2184
US

V. Phone/Fax

Practice location:
  • Phone: 724-744-2500
  • Fax: 724-744-3338
Mailing address:
  • Phone: 412-457-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA005734
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA062689
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: