Individual provider Active NPI

Brittney J Sobota, PA-C

  • Surgical Physician Assistant
  • Wheeling, WV
National Provider Identifier
1043526692
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
01489 Issued in WV
Practice address
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Phone
(304) 243-3000
Fax
(304) 243-1038
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 01489 WV Primary

Addresses

Primary practice location

1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379

Mailing address

1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Phone (304) 243-3000

Other identifiers 2

IdentifierTypeStateIssuer
1092700OtherGANCCPA IDENTIFICATION NUMBER
01489OtherWVLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Khoury Surgical Associates Inc CurrentSince Nov 11, 2015 Accepting new patients
Khoury Vascular & Vein Inc CurrentSince Nov 11, 2015 Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425

4100 Johnson Rd
Ste 202
Steubenville, OH 43952
Phone (740) 346-2216

109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

20 Medical Park
Ste 203
Wheeling, WV 26003
Phone (304) 234-8942

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1043526692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "address_2": "WHEELING HOSPITAL INC",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3000",
            "fax_number": "304-243-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "address_2": "WHEELING HOSPITAL INC",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3000",
            "fax_number": "304-243-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOTA",
        "first_name": "BRITTNEY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "01489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA IDENTIFICATION NUMBER",
            "identifier": "1092700",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01489",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.