Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYSON E BUBNAR, PA-C
ActivePhysician Assistant · FAIRMONT, WV
Registration Details
- NPI Number
- 1720312861
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2009 (16.579577554023 yrs)
- Last Updated
- May 27, 2025
- Licenses
-
931 (AK)699 (WV)
Practice Information
- Address
-
1325 LOCUST AVEFAIRMONT, WV, 265541435Browse WV providers · Browse ZIP 26554
- Phone
- 9079474406
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FAIRMONT, WV
| Name | Credential | NPI |
|---|---|---|
| MS. RUBINA K DASILVA | PAC | 1104887405 |
| MS. PATRICIA ANN PARRISH | PA-C | 1699714014 |
| ANN LOUISE NICELY | PHYSICIAN ASSISTANT | 1265588271 |
| MR. PHILLIP NORTHEY | PHYSICIAN ASSISTANT | 1952457970 |
| CHRISTINA MICHELLE MANCHIN-NEWLON | PA | 1386800126 |
| MONICA LYNN SHAFFER | PA-C | 1902034606 |
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.