Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN P IMPASTATO, PA-C
ActiveJOHN P IMPASTATO, PA-C is a Physician Assistant healthcare provider located in COLONIAL HEIGHTS, Virginia. NPI 1053319590 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COLONIAL HEIGHTS, VA
Registration Details
- NPI Number
- 1053319590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.072230900349 yrs)
- Last Updated
- Jul 24, 2020
- Licenses
-
C06773 (MD)1746 (OH)0110004196 (VA)
Practice Information
- Address
-
325 CHARLES H DIMMOCK PKWY STE 100COLONIAL HEIGHTS, VA, 238342986Browse VA providers · Browse ZIP 23834
- Phone
- 8045265888
- Fax
- 8045265401
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COLONIAL HEIGHTS, VA
| Name | Credential | NPI |
|---|---|---|
| KRIS D CLARK | PA | 1154318624 |
| MR. RICHARD ACEVEDO | PHYSICIAN ASSISTANT | 1861409187 |
| NATALE S FATCHET | PA-C | 1346424900 |
| DERRELL GLENN JACKSON | PA-C | 1104072297 |
| CAROL LUND | PA | 1235379363 |
| BRADLEY E KOLESAR | PA-C | 1356676225 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.