Tyler Michael Mautino (NPI# 1679944177, PAC ID# 1052619780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1679944177 |
| PAC ID by PECOS | 1052619780 |
| Professional Enrollment ID | I20160413002316 |
| Full Name | Tyler Michael Mautino |
| Address |
60 Hatch Run Rd Warren PA 16365-5249 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20 Main St, Bradford, PA 16701-2004 | 8143687090 | FAMILY EYE HEALTH CENTER P C |
| 60 Hatch Run Rd, Warren, PA 16365-5249 |
| Street Address |
60 HATCH RUN RD |
| City | WARREN |
| State | PA |
| Zip | 16365-5249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Scharrer Summerson | Nurse Practitioner | Warren Healthcare Associates Inc | 14 Plumber St, Warren, PA 16365-1202 |
| Damian T Horner | Family Medicine | Damian T Horner, Do Family Practice | 10 Plumber St, Warren, PA 16365-1202 |
| Sarah R Jepson | Physician Assistant | Damian T Horner, Do Family Practice | 10 Plumber St, Warren, PA 16365-1202 |
| Joseph J Maljovec | Obstetrics/gynecology | Warren Healthcare Associates Inc | 14 Plumber St, Warren, PA 16365-1202 |
| Frankie Jo Johnson | Clinical Social Worker | 4 Clover St, Warren, PA 16365-1213 | |
| David A Brook | Chiropractic | 206 E 5th Ave, Warren, PA 16365-1606 | |
| Joshua Britten | Podiatry | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Chelsie R Dell | Physician Assistant | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Jill Gorton | Nurse Practitioner | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Muhammad Asad | General Surgery | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Find all physicians in zip 16365 | |||
| City | WARREN |
| Zip Code | 16365 |
| Specialty | OPTOMETRY |
| City + Specialty | WARREN + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.