MARIAH WALLACE PA-C
NPI 1124806682
Physician Assistant in Mt Pleasant, PA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363A00000X.

Active since September 18, 2023

508 S CHURCH ST, MT PLEASANT, PA 15666(724) 547-7092(724) 547-7096 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2026, May 7, 2026, Jun 23, 2025 (3 updates tracked since 2025).

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About Mariah Wallace Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAH WALLACE PA-C (NPI 1124806682) is an individual physician assistant in Mt Pleasant, Pennsylvania, licensed in Pennsylvania (MA067651) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1124806682

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIAH WALLACECredential: PA-C

Location Address508 S CHURCH STMt Pleasant, PA 15666-1702

Mailing Address508 S Church StMt Pleasant, PA 15666-1702 · (724) 547-7092 · Fax (724) 547-7096

Phone(724) 547-7092

Fax(724) 547-7096

Sole ProprietorNo

Enumeration DateSeptember 18, 2023

Last NPPES UpdateMay 15, 20263 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1124806682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA067651

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

508 S CHURCH ST, Mt Pleasant, PA 15666

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