IndividualActive
Stephen Patrick, PA-C
NPI 1124109533 · Surgical Physician Assistant · Glen Dale, WV
Provider details
- NPI number
- 1124109533
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 01098 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone: (304) 845-3211
Approximate (ZIP-level) locationGet directions
Mailing address
107 Remington Dr
Wheeling, WV 26003-9402
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.