Provider Demographics
NPI:1447487996
Name:MACHAK, DARREN (DO)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:MACHAK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:EAST BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16029-0447
Mailing Address - Country:US
Mailing Address - Phone:724-284-7465
Mailing Address - Fax:
Practice Address - Street 1:1022B N MAIN STREET
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1954
Practice Address - Country:US
Practice Address - Phone:724-282-7910
Practice Address - Fax:724-431-0366
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015629207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine