Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Garrett Roy Mang, PA-C

Individual provider Medical Physician Assistant · NPI 1275392631

Garrett Roy Mang, PA-C is a Physician Assistant in Monroeville, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Suburban Urologic Associates PC, a 9-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2790 Mosside Blvd Ste G110
Monroeville, PA 15146-2766
Phone: (412) 372-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA065226 (PA)

Record details

NPI number1275392631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Suburban Urologic Associates Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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