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

Individual provider Physician Assistant · NPI 1861669814

Stephanie C. Mayberg, PA-C is a Physician Assistant in Worcester, Massachusetts. Licensed in California, Massachusetts and Texas. Registered with an NPI since 2008.

Licensed in
CA, MA, TX
In the registry since
2008
Specialties on file
3
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3452
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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 PA5002 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA20096 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA05684 (TX)

Record details

NPI number1861669814
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

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