JAYNE ALYSSA KOEHLER PA-C NPI 1093967887

NPI Information

NPI: 1093967887
Provider Name: JAYNE ALYSSA KOEHLER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: LEXINGTON HEALTH INC

PECOS Registration: Yes

Address:
122 POWELL DR
LEXINGTON, SC
ZIP 29072
Phone: (803) 957-8400
Get Directions

Jayne Alyssa Koehler, PA-C is a medical physician assistant in Lexington, SC with 16 years of experience. Jayne Alyssa Koehler, PA-C NPI is 1093967887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

122 POWELL DR
LEXINGTON, SC
ZIP 29072-203
Phone: (803) 957-8400
Fax: (803) 957-1939

The NPI 1093967887 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 10/13/2008 and was last updated on 11/9/2020.

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	363AM0700X	Physician Assistant	Medical	1353	SOUTH CAROLINA	Yes
2	363AM0700X	Physician Assistant	Medical	TL1353	SOUTH CAROLINA	No

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	1080454	OTHER	SOUTH CAROLINA	NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

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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