JASON JOHN OVEROCKER PA-C NPI 1033581269

NPI Information

NPI: 1033581269
Provider Name: JASON JOHN OVEROCKER, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

PECOS Registration: Yes

Address:
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (706) 863-9595
Get Directions

Jason John Overocker, PA-C is a surgical physician assistant in Idaho Falls, ID with 9 years of experience. Jason John Overocker, PA-C NPI is 1033581269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (706) 863-9595
Fax: (706) 447-7184

The NPI 1033581269 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 3/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA-1466	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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