Individual provider · Type 1 NPI

Jerome J. Upchurch, SA-C, CSFA

Surgical Physician Assistant · North Potomac, MD

NPI number 1023557618 Active

Practice location

15811 Chagall Ter
North Potomac, MD 20878-3461

Call (215) 518-2138 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0136001197 (VA)
Surgical Assistant 246ZC0007XNone listed

Surgical Physician Assistant: Definition to come...

About NPI 1023557618

Jerome J. Upchurch, SA-C, CSFA's National Provider Identifier is 1023557618, issued on Feb 16, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in North Potomac, MD. The record was last updated on Oct 3, 2026.