Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK PATRICK MOUTY, PA-C
ActiveMR. MARK PATRICK MOUTY, PA-C is a Surgical Physician Assistant healthcare provider located in FAIRBANKS, Alaska. NPI 1538191861 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FAIRBANKS, AK
Registration Details
- NPI Number
- 1538191861
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.078829480622 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
696 (AK)696 (AK)696 (AK)
Practice Information
- Address
-
751 OLD RICHARDSON HWYSTE # 200FAIRBANKS, AK, 997017813Browse AK providers · Browse ZIP 99701
- Phone
- 9074516561
- Fax
- 9074514847
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| ROBERT ALLEN WOOD | PA-C | 1457329542 |
| VAN E LAMORE | PA-C | 1689625964 |
| MR. MICHAEL THOMAS WEBER | PHYSICIAN ASSISTANT | 1902990963 |
| JENNIFER A HOLT | PA-C | 1801054879 |
| JENNIFER A LUCEY | PA-C | 1811248073 |
| MR. PAUL LIN PATTON | PA-C | 1437401502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.