Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTIN TYLER QUALIZZA, PA-C
ActiveAUSTIN TYLER QUALIZZA, PA-C is a Surgical Physician Assistant healthcare provider located in CHESTERTON, Indiana. NPI 1639778970 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CHESTERTON, IN
Registration Details
- NPI Number
- 1639778970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2020 (5.8157354450656 yrs)
- Last Updated
- May 20, 2025
- License
-
10003133 (IN)
Practice Information
- Address
-
601 GATEWAY BLVD NCHESTERTON, IN, 463049658Browse IN providers · Browse ZIP 46304
- Phone
- 2199211444
- Fax
- 2199215303
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in CHESTERTON, IN
| Name | Credential | NPI |
|---|---|---|
| GERALD E GONNELLA | P.A. | 1801894407 |
| STEVEN MICHAEL BUNAG | PA-C | 1518965961 |
| NATALIE R FOX | PA | 1295961944 |
| AHLAM N WOLF | PA | 1477863264 |
| MS. DANIELLE MANKIN | PA-C | 1194016881 |
| JOSHUA M ALLEN | PA-C | 1912345166 |
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.