Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY GLEN HART, PA-C
Active Sole ProprietorJEFFREY GLEN HART, PA-C is a Medical Physician Assistant healthcare provider located in FORT DRUM, New York. NPI 1396728846 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT DRUM, NY
Registration Details
- NPI Number
- 1396728846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2005 (20.73293632233 yrs)
- Last Updated
- Jul 8, 2007
- License
-
50-000688 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11050 MOUNT BELVEDERE BLVDUSA MEDDAC/CREDENTIALSFORT DRUM, NY, 136025438Browse NY providers · Browse ZIP 13602
- Phone
- 3157724025
- Fax
- 3157729498
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| MR. PETER VERNON GOETCHIUS | PHYSICIAN ASSISTANT | 1285610451 |
| MR. GEORGE JOSEPH DEVITA | PA-C | 1104803964 |
| JEANNE YEAGLE | P.A. | 1902883564 |
| MR. GREGORY JOHN PATAKY | APA-C | 1821076324 |
| MS. TANYA MONIQUE PEREZ | PA | 1881672350 |
| HENDERSON VICTOR WIJAYA | PA-C | 1326418823 |
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.