Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK DOTY III, PA
ActiveJACK DOTY III, PA is a Physician Assistant healthcare provider located in DELBARTON, West Virginia. NPI 1801254412 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DELBARTON, WV
Registration Details
- NPI Number
- 1801254412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2016 (10.49366772951 yrs)
- Last Updated
- Dec 9, 2025
- License
-
1970 (WV)
Practice Information
- Address
-
5027 HELENA AVEDELBARTON, WV, 256701301Browse WV providers · Browse ZIP 25670
- Phone
- 3044751761
- Fax
- 3044751762
- Primary Specialty
-
Physician Assistant
363A00000X
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.