MR. JON DABU VERCELES PA-C NPI 1841263324

NPI Information

NPI: 1841263324
Provider Name: MR. JON DABU VERCELES, 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
Get Directions

MR. Jon Dabu Verceles, PA-C is a surgical physician assistant in Raleigh, NC with 21 years of experience. MR. Jon Dabu Verceles, PA-C NPI is 1841263324. 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:

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

The NPI 1841263324 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 2/7/2006 and was last updated on 9/1/2020.

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	363A00000X	Physician Assistant		0010-03175	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	0010-03175	NORTH CAROLINA	No
3	363AM0700X	Physician Assistant	Medical	PA824	NEVADA	No
4	363AS0400X	Physician Assistant	Surgical	0010-03175	NORTH CAROLINA	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	100500023	OTHER	NEVADA	NVMEDICAID
2	100502898	MEDICAID	NEVADA
3	VWCHKL	OTHER	NEVADA	NORIDIAN

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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