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

Individual provider Physician Assistant · NPI 1841001757

Grady Thomas Egan, PA-C is a Physician Assistant in Tamaqua, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Gslpg, Inc, a 267-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
Specialties on file
4
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

120 Pine St
Tamaqua, PA 18252-1409
Phone: (484) 526-1735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066436 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA007184 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence OA007184 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA066436 (PA)

Record details

NPI number1841001757
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing address120 Pine St, Tamaqua, PA 18252-1409

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gslpg, Inc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Tamaqua