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

Individual provider Physician Assistant · NPI 1619500691

Ivanka M Mora, PA-C is a Physician Assistant in Johnstown, Pennsylvania. Licensed in Maryland, Pennsylvania and Virginia. Registered with an NPI since 2020.

Licensed in
MD, PA, VA
In the registry since
2020
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

1407 Eisenhower Blvd Ste 103B
Johnstown, PA 15904-3262
Phone: (240) 480-8236
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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 C0007509 (MD)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA006883 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110009710 (VA)

Record details

NPI number1619500691
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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