National Provider Identifier Database

COREY WEIDMAN, PA-C – NPI #1013912104
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

COREY WEIDMAN, PA-C
JACKSON RIVER ORTHOPEDICS
1 ARH LANE, STE 102
LOW MOOR, VA24457
Phone: 540-862-6777
Fax: 540-863-9167
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for COREY WEIDMAN

NPI Number 1013912104
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/16/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0110840643
  • Other: 541839718 C&O
  • Other: 200026 LUNG
  • VA Other: 258083 ANTHEM
  • VA Other: 541839718045 BS MOUNTAIN STATE
  • WV Other: 001717977 BSMT
  • WV Other: 54183971800 WV WORKERS COMPENSATION
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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