Individual provider · Type 1 NPI

Cody Janton Heintzelman, PA-C

Physician Assistant · Selinsgrove, PA

NPI number 1174034359 Active

Practice location

270 Susquehanna Valley Mall Dr Ste 800
Selinsgrove, PA 17870-9124

Call (570) 884-7925 Map

Fax (570) 374-7932

Mailing address

1 Memorial Medical Pkwy Ste 101
Palm Coast, FL 32164-5979

Other practice locations

  • 1 Memorial Medical Pkwy Ste 101, Palm Coast, FL 32164-5979 · (386) 586-1523

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9121574 (FL)
Physician Assistant 363A00000XMA059718 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174034359

Cody Janton Heintzelman, PA-C's National Provider Identifier is 1174034359, issued on Oct 16, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Selinsgrove, PA. The record was last updated on Apr 1, 2026.