Unknown Individual – Surgical Physician Assistant, NPI 1073624581
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
449, Marietta Lane, Mayfeild Crossing, Spartanburg County, South Carolina, 29651, United States
MARIETTA, OH 457500449
Phone: (740) 374-4500
Fax: (740) 374-5887
Type: Mailing
400, Matthew Street, Riverdale, Marietta, Washington County, Ohio, 45750, United States
SUITE 200
MARIETTA, OH 457501644
Phone: (740) 434-0565
Fax: (740) 434-0563
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45750)
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