JEFFREY R WITHELDER PA-C NPI 1386081461

NPI Information

  • NPI: 1386081461
  • Provider Name: JEFFREY R WITHELDER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 925 CHESTNUT ST
    5TH FLOOR
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (267) 339-3500

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NPI Details

Jeffrey R Withelder, PA-C is a surgical physician assistant in Philadelphia, PA. Jeffrey R Withelder, PA-C NPI is 1386081461. 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:

925 CHESTNUT ST
5TH FLOOR
PHILADELPHIA, PA
ZIP 19107-216
Phone: (267) 339-3500
Fax: (215) 503-0580

The enumeration date for this NPI number is 5/29/2013 and was last updated on 5/29/2013.

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
1363AS0400XPhysician AssistantSurgicalMA054915PENNSYLVANIAYes

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: 11/21/2025

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