Individual provider · Type 1 NPI

Demitria Phaturos, PA-C

Physician Assistant · Bethlehem, PA

NPI number 1639040165 Active

Practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

109 Perrin Ave Apt 3
Shavertown, PA 18708-1468

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA067084 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639040165

Demitria Phaturos, PA-C's National Provider Identifier is 1639040165, issued on Sep 16, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bethlehem, PA. The record was last updated on Sep 26, 2025.