Physician Assistant
JODI GOTTARDI
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124429196 · enumerated 2014-09-10 · record updated 2023-03-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 800 WHEELING AVE, GLEN DALE, WV, 26038-1660 Google Maps Apple Maps OpenStreetMap
- Practice location 800 WHEELING AVE, GLEN DALE, WV, 26038-1660 (304) 845-3211 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 50-004078 OH
- Physician Assistant 363A00000X · Primary · License 2036 WV
In this directory
Locations and evidence
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Practice location
GLEN DALE, WV, 260381660
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.