MR. ANTHONY J PACK PA-C
NPI 1790817872
Physician Assistant - Surgical in Doylestown, PA

Q: What is Anthony Pack's NPI number?

The NPI number for Anthony Pack is 1790817872. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Anthony Pack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Pack was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2007PECOS Enrolled

595 W STATE ST, DOYLESTOWN, PA 18901(215) 345-2455(215) 345-2978 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Anthony J Pack Pa-c NPPES

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

MR. ANTHONY J PACK PA-C (NPI 1790817872) is an individual surgical provider in Doylestown, Pennsylvania, licensed in Pennsylvania (MA002856L) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790817872

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. ANTHONY J PACKCredential: PA-C

Location Address595 W STATE STDoylestown, PA 18901-2554

Mailing Address595 W State StDoylestown, PA 18901-2554 · (215) 345-2455 · Fax (215) 345-2978

Phone(215) 345-2455

Fax(215) 345-2978

Sole ProprietorNo

Enumeration DateMarch 12, 2007

Last NPPES UpdateNovember 2, 2016

✔ NPI 1790817872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in PA · MA002856L

595 W STATE ST, Doylestown, PA 18901

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS70670PA

Medicare ID-Type Unspecified096232K3HPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Anthony J Pack Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DAVID SHEEHAN D.O.

Radiology (Vascular & Interventional Radiology)

595 W STATE ST, DOYLESTOWN RADIOLOGY ASSOCIATES
DOYLESTOWN, PA 18901

Bucks County (215) 345-2849

DANIEL JOSEPH SLADE

Radiology (Diagnostic Radiology)