ALEXANDRA VITEK COBO ATC PA-C NPI 1679913727

NPI Information

NPI: 1679913727
Provider Name: ALEXANDRA VITEK COBO, ATC, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3009 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 232-5020
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Alexandra Vitek Cobo, ATC, PA-C is a surgical physician assistant in Raleigh, NC with 8 years of experience. Alexandra Vitek Cobo, ATC, PA-C NPI is 1679913727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

3009 NEW BERN AVE
RALEIGH, NC
ZIP 27610-214
Phone: (919) 232-5020

The NPI 1679913727 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 7/2/2013 and was last updated on 2/18/2021.

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	2255A2300X	Specialist/Technologist	Athletic Trainer	2268	NORTH CAROLINA	No
2	363AS0400X	Physician Assistant	Surgical	0110005640	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1679913727	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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