MEDICARE: PAIGE HIMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144758327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE HIMES

Provider Business Mailing Address
First Line	:	6 SUBSTATION RD
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-9403
Country	:	US
Telephone Number	:	814-506-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 S PARK ST
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-1334
Country	:	US
Telephone Number	:	814-542-8627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	06/06/2024

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Directions to “ PAIGE HIMES ” Practice Location

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