Provider Demographics
NPI:1871941484
Name:SCHALL, TAYLOR A (PA-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:A
Last Name:SCHALL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ANN
Other - Last Name:MURARIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1061 N FRONT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PHILIPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16866-8257
Mailing Address - Country:US
Mailing Address - Phone:814-376-6200
Mailing Address - Fax:814-376-6215
Practice Address - Street 1:1061 N FRONT ST STE 2
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-8257
Practice Address - Country:US
Practice Address - Phone:814-376-6200
Practice Address - Fax:814-376-6215
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA058258363A00000X
PAOA003713363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant