MRS. MOLLY JEAN NOTBOHM PA-C
NPI 1801130893
Physician Assistant - Medical in Wexford, PA

Q: What is Molly Notbohm's NPI number?

The NPI number for Molly Notbohm is 1801130893. It was assigned to this individual provider in the NPPES registry on November 15, 2012. The provider is also known as Molly Jean Thomas Pa-C.

Q: What is Molly Notbohm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Molly Notbohm was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 15, 2012PECOS Enrolled

12311 PERRY HWY, WEXFORD, PA 15090(878) 332-4387(412) 332-4490 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Dec 1, 2021, Sep 30, 2020 and 4 more (7 updates tracked since 2017).

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About Mrs. Molly Jean Notbohm Pa-c NPPES

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

MRS. MOLLY JEAN NOTBOHM PA-C (NPI 1801130893) is an individual medical provider in Wexford, Pennsylvania, licensed in Pennsylvania (MA055861) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801130893

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MOLLY JEAN NOTBOHMCredential: PA-C

Location Address12311 PERRY HWYWexford, PA 15090-8344

Mailing Address12311 Perry HwyWexford, PA 15090-8344 · (878) 332-4387 · Fax (412) 332-4490

Phone(878) 332-4387

Fax(412) 332-4490

Sole ProprietorYes

Enumeration DateNovember 15, 2012

Last NPPES UpdateFebruary 3, 20227 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1801130893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA055861

12311 PERRY HWY, Wexford, PA 15090

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Other Names 1

Former Name (1)Molly Jean Thomas Pa-c

Other Identifiers 2

Other12482518Caqh

Medicaid103162687PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Molly Jean Notbohm 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.

BRODY WOOD PT, DPT

Physical Therapist