Mackenzie Gonder · Physician Assistant

271 Railroad St, Philipsburg, PA 16866-2300

Overview

Mackenzie Gonder is a Physician Assistant practicing in Philipsburg, Pennsylvania. The National Provider Identifier (NPI) is #1679972608, which was assigned on August 14, 2014, and the registration record was last updated on December 5, 2025. The practitioner's main practice location is at 271 Railroad St, Philipsburg, PA 16866-2300; the contact telephone number is 8143421872, and the fax number is 8143421874. The primary taxonomy of Mackenzie Gonder is Physician Assistant (363A00000X). Mackenzie Gonder is licensed to practice in the state of Pennsylvania (#OA003708).

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1679972608
Entity Type Individual
Provider Name MACKENZIE GONDER
Gender Female
Practice Address 271 Railroad St
Philipsburg
PA 16866-2300
Practice Telephone 8143421872
Practice Fax Number 8143421874
Mailing Address 100 Hospital Ave
Du Bois
PA 15801-1440
Mailing Telephone 8143754200
Mailing Fax Number 8143754232
Certification Date 2025-12-05
Enumeration Date 2014-08-14
Last Update Date 2025-12-05
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 9335464650
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name MACKENZIE LEE GONDER
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name BROOKVILLE HOSPITAL
Address 271 Railroad St
Philipsburg
PA 16866-2300

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician AssistantOA003708PA

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
103155243PAMEDICAID

Secondary Practice Locations

AddressTelephoneFax
2051 S Atherton St, State College, PA 16801760884427846008142316879

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Location Information

Street Address 271 RAILROAD ST
City PHILIPSBURG
State PA
Zip Code 16866-2300
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Paige Alyssa Rupp 271 Railroad St, Philipsburg, PA 16866-2300Family Nurse Practitioner2025-09-02
Macey Elizabeth Frank 271 Railroad St, Philipsburg, PA 16866-2300Family Nurse Practitioner2025-10-28
Douglas May Jr. 271 Railroad St, Philipsburg, PA 16866-2300Family Medicine Physician2018-06-05

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Cen Clear Child Services 1633 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8112Community Health Clinic/Center2017-06-18
Mid State Medical Inc 601 N Front St, Philipsburg, PA 16866-2303Family Medicine Physician2007-01-25
Central Intermediate Unit # 10 200 Shady Ln Ste 120, Philipsburg, PA 16866-1985Early Intervention Provider Agency2010-02-26
Central Intermediate Unit 200 Shady Ln Ste 120, Philipsburg, PA 16866-1985Local Education Agency (LEA)2006-05-02
Akinola Mobolaji 220 N Front St, Ste 301, Philipsburg, PA 16866-1676Psychiatric/Mental Health Nurse Practitioner2014-07-28
Kelly Snyder · Kelly Duckett 18 N Front St, Philipsburg, PA 16866-1602Obstetrics & Gynecology Physician2007-05-17
Cen Clear Child Services, Inc. 580 Old Route 322, Philipsburg, PA 16866-8004Mental Health Counselor2008-03-20
Pauline E Stout 580 Old Route 322, Philipsburg, PA 16866Mental Health Counselor2007-03-22
Laurel Henderson 1633 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8112Professional Counselor2025-06-13
Phillipsburg Snf Opco LLC 100 Dogwood Dr, Philipsburg, PA 16866-1982Skilled Nursing Facility2024-10-15
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.