Individual provider · Type 1 NPI

Jack Doty Iii, PA

Physician Assistant · Delbarton, WV

NPI number 1801254412 Active

Practice location

5027 Helena Ave
Delbarton, WV 25670-1301

Fax (304) 475-1762

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1970 (WV)

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…

2 other providers at this address

About NPI 1801254412

Jack Doty Iii, PA's National Provider Identifier is 1801254412, issued on Feb 10, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Delbarton, WV. The record was last updated on Dec 9, 2025.