Mallori Wisuri Hathaway, PA-C
Mallori Wisuri Hathaway, PA-C is a Physician Assistant in Scottsburg, Indiana. Qualified in 2021, 5 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 5
- Licensed in
- IN
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1428 N Gardner StScottsburg, IN 47170-8720
Phone: (812) 752-3512
Fax: (812) 752-8593
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (7)
- 415 S Landmark Ave, Bloomington, IN 47403-5003 — (812) 333-7433
- 244 Westwood Blvd, Columbus, IN 47201-5687 — (812) 669-0141
- 1263 Hospital Dr Nw Ste 100, Corydon, IN 47112-2173 — (812) 783-2054
- 2130 W Sycamore St Ste 200, Kokomo, IN 46901-6461 — (765) 457-4455
- 505 W Homer St Ste 201, Salem, IN 47167-1698 — (812) 883-0024
- 911 N Shelby St, Salem, IN 47167-2304 — (812) 883-8527
- 303 S Walnut St, Seymour, IN 47274-2368 — (812) 358-7705
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10003222A (IN) |
|---|
Record details
| NPI number | 1861019689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 27, 2020 |
| Last updated in NPPES | November 12, 2025 |
| Certification date | November 12, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Forefront Dermatology Sc — 645 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Scottsburg
-
MS. Shelby Christina Margaret House, PA-C
1473 N Gardner St, Scottsburg, IN 47170-7751 · (502) 584-2029
-
MS. Rebecca Sue Koopman, PA-C
705 Fairground Rd, Scottsburg, IN 47170-6778 · (812) 752-0165
-
Mrs. Adrienne D Parks, PAC
1441 N Gardner St, Scottsburg, IN 47170-7751 · (812) 752-4055
-
Tyler Jordan Satterfield, PA-C
1451 N Gardner St, Scottsburg, IN 47170-7751 · (812) 752-3456