DAVID PECORA PA
NPI 1679637177
Physician Assistant in Cass Lake, MN

Active since December 20, 2006
425 7TH ST NW, CASS LAKE, MN 56633(218) 335-3216(218) 335-3204 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David Pecora Pa NPPES

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

DAVID PECORA PA (NPI 1679637177) is an individual physician assistant in Cass Lake, Minnesota, licensed in Florida (PA9103061) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1679637177
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID PECORACredential: PA
Location Address425 7TH ST NWCass Lake, MN 56633-3360
Mailing Address425 7th St NwCass Lake, MN 56633-3360 · (218) 335-3216 · Fax (218) 335-3204
Fax(218) 335-3204
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1679637177 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 FL · PA9103061
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.

425 7TH ST NW, Cass Lake, MN 56633

Other Identifiers 3

Medicare UPINP46885MN
Medicaid410684900MN
Other995N6PEMN · Bcbsm

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
425 7TH ST NW
CASS LAKE, MN 56633
Family Medicine
425 7TH ST NW
CASS LAKE, MN 56633
Physical Therapist
425 7TH ST NW
CASS LAKE, MN 56633
Family Medicine
425 7TH ST NW
CASS LAKE, MN 56633
Family Medicine
425 7TH ST NW
CASS LAKE, MN 56633
Dentist
425 7TH ST NW
CASS LAKE, MN 56633
Pharmacist
425 7TH ST NW
CASS LAKE, MN 56633
Dental Hygienist
425 7TH ST NW, CASS LAKE PHS INDIAN HOSPITAL
CASS LAKE, MN 56633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679637177, enumerated as an "individual" on December 20, 2006.

The provider is located at 425 7TH ST NW CASS LAKE, MN 56633 and the phone number is (218) 335-3216.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.