Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ERIC JIVIDEN, MPAS, PA-C
ActiveMR. ERIC JIVIDEN, MPAS, PA-C is a Medical Physician Assistant healthcare provider located in CENTREVILLE, Virginia. NPI 1134507734 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CENTREVILLE, VA
Registration Details
- NPI Number
- 1134507734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2015 (11.223964686414 yrs)
- Last Updated
- May 15, 2015
- Licenses
-
0110002105 (VA)103779 (NC)
Practice Information
- Address
-
13700 CRYSTALFORD CTCENTREVILLE, VA, 201202085Browse VA providers · Browse ZIP 20120
- Phone
- 7039694190
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in CENTREVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| GILDA LOGA | PA-C | 1578669610 |
| STACEY T SHEPHERD | PA-C | 1679673255 |
| STORY MCDONALD | PA-C | 1619094158 |
| MISS MICHELLE BURTON | PA-C | 1245685163 |
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.