Individual provider · Type 1 NPI

Elliot Probst, PA-C

Physician Assistant · Port Matilda, PA

NPI number 1891692562 Active

Practice location

132 Abigail Ln
Port Matilda, PA 16870-7153

Call (800) 230-4565 Map

Mailing address

248 Susquehanna Ave
Renovo, PA 17764-1523

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA067891 (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 1891692562

Elliot Probst, PA-C's National Provider Identifier is 1891692562, issued on Oct 24, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Matilda, PA. The record was last updated on Oct 24, 2026.