Individual provider · Type 1 NPI
Mallori Wisuri Hathaway, PA-C
Physician Assistant · Scottsburg, IN
Practice location
1428 N Gardner St
Scottsburg, IN 47170-8720
Fax (812) 752-8593
Mailing address
801 York St
Manitowoc, WI 54220-4630
Other practice locations
- 2130 W Sycamore St Ste 200, Kokomo, IN 46901-6461 · (765) 457-4455
- 244 Westwood Blvd, Columbus, IN 47201-5687 · (812) 669-0141
- 303 S Walnut St, Seymour, IN 47274-2368 · (812) 358-7705
- 415 S Landmark Ave, Bloomington, IN 47403-5003 · (812) 333-7433
- 1263 Hospital Dr NW Ste 100, Corydon, IN 47112-2173 · (812) 783-2054
- 911 N Shelby St, Salem, IN 47167-2304 · (812) 883-8527
- 505 W Homer St Ste 201, Salem, IN 47167-1698 · (812) 883-0024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 10003222A (IN) |
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…
5 other providers at this address
- Family Medical Associates P CFamily Medicine Physician Scottsburg, IN NPI 1548357775
- Forefront Dermatology, S.c.Dermatology Physician Scottsburg, IN NPI 1093269144
- Gill Medical and Geriatrics Associates LLCInternal Medicine Physician Scottsburg, IN NPI 1710091004
- Dhamayanthi Sivamohan, MDFamily Medicine Physician Scottsburg, IN NPI 1326146580
- Rupinder Gill, MDInternal Medicine Physician Scottsburg, IN NPI 1770565897
Other physician assistant providers in Scottsburg
- Rebecca Sue Koopman, PA-CPhysician Assistant Scottsburg, IN NPI 1043883259
- Tyler Jordan Satterfield, PA-CPhysician Assistant Scottsburg, IN NPI 1346071628
- Adrienne D. Parks, PACPhysician Assistant Scottsburg, IN NPI 1518214865
- Shelby Christina Margaret House, P.A.-C.Physician Assistant Scottsburg, IN NPI 1639284581
About NPI 1861019689
Mallori Wisuri Hathaway, PA-C's National Provider Identifier is 1861019689, issued on Jun 27, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Scottsburg, IN. The record was last updated on Nov 12, 2025.