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NPI 1427420421ActiveOrganization· Physician Assistant, Surgical· Pittsburgh, PA

Physician Assistant, Surgical in Pittsburgh, Pennsylvania, registered in NPPES in October 2015, part of Community Medicine Inc. The authorized official on file is Ty Lellock, Practice Manager.

Overview

NPI1427420421
StatusActive
Entity typeOrganization (subpart)
Parent organizationCommunity Medicine Inc.
NPI issuedOct 29, 2015
Last updated in NPPESOct 29, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400XMA057919PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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