Unknown Individual – Physician Assistant, NPI 1629174412
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8764 BLAIN HWY
CHILLICOTHE, OH 456018644
Phone: (740) 773-7669
Fax: (740) 596-0871
Type: Mailing
SR 104, Chillicothe, Ross County, Ohio, 45601, United States
116A1
CHILLICOTHE, OH 456018608
Phone: (740) 773-1141
Fax: (740) 772-7096
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 45601)
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