JASON KOTZIN PA-C NPI 1417817339

NPI Information

  • NPI: 1417817339
  • Provider Name: JASON KOTZIN, PA-C
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1330 BOILING SPRINGS RD STE 1600
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 237-1453

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NPI Details

Jason Kotzin, PA-C is a student in an organized health care education training program in Spartanburg, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jason Kotzin, PA-C NPI is 1417817339. 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:

1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC
ZIP 29303-219
Phone: (864) 237-1453

The enumeration date for this NPI number is 11/13/2025 and was last updated on 11/13/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramSOUTH CAROLINAYes

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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