Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN EDWARD MACK, PA
ActiveJOHN EDWARD MACK, PA is a Surgical Physician Assistant healthcare provider located in FISHERSVILLE, Virginia. NPI 1619918968 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FISHERSVILLE, VA
Registration Details
- NPI Number
- 1619918968
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.190380709728 yrs)
- Last Updated
- Feb 17, 2025
- Licenses
-
006239 (NY)006239 (NY)0110006808 (VA)
Practice Information
- Address
-
70 MEDICAL CENTER CIR STE 213FISHERSVILLE, VA, 229392273Browse VA providers · Browse ZIP 22939
- Phone
- 5402457705
- Fax
- 5402457710
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
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.