NPIMap

Individual provider Active NPI

Jin O, PA-C

  • Physician Assistant
  • Parkersburg, WV
National Provider Identifier
1578746095
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2323 Issued in WV
Practice address
1212 Garfield Ave Ste 202
Parkersburg, WV 26101-3247
Phone
(681) 229-3058
NPI assigned
Dec 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2323 WV Primary

Addresses

Primary practice location

1212 Garfield Ave Ste 202
Parkersburg, WV 26101-3247

Mailing address

1212 Garfield Ave Ste 300
Parkersburg, WV 26101-3247
Phone (304) 865-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jin.o@camc.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825001476 WV Practitioner - Physician Assistant 9830516624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1212 Garfield Ave
Parkersburg, WV 26101-3247

400 Association Dr
Suite 102
Charleston, WV 25311-1298

403 Professional Cir
Ravenswood, WV 26164-1357
Phone (304) 865-3631

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pars Neurosurgical Associates, Inc CurrentSince May 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 6, 2020 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 28, 2025 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1212 Garfield Ave
Parkersburg, WV 26101
Phone (304) 489-8100

1212 Garfield Ave
Ste 202
Parkersburg, WV 26101
Phone (304) 865-3640

1212 Garfield Ave
Ste 300
Parkersburg, WV 26101
Phone (304) 424-4130

Interoperability endpoints

  • Direct secure messaging: jin.o@camc.cernerdirect.com
  • Direct secure messaging: jin.o.1@29596.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1578746095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE STE 300",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE STE 202",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "681-229-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O",
        "first_name": "JIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jin.o@camc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1212 Garfield Ave Ste 202",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261013247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.