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Active NPI 1013910843 Individual Practitioner Male Practitioner

John C Kish , PA

Physician Assistant • Clyde, NC

Professional Overview & Biography Verified Profile Summary

John Kish, PA is a registered healthcare professional specializing in Physician Assistant in Clyde, NC. Practice services are available at 35 FACILITY DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

35 Facility Drive
Medwest

Clyde, NC 28721

Telephone 8284525042
Fax 8284529225
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clyde, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.3 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Clyde, NC (9374 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
63 63 $1510.00 $141.58
99284 Emergency department visit with moderate level of medical decision making
27 27 $1027.00 $98.38
99282 Emergency department visit with straightforward medical decision making
16 14 $444.00 $34.02

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 103183

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Matthew Denti , DO

Obstetrics & Gynecology

NPI 1336157726

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Lane , MD

Obstetrics & Gynecology

NPI 1396746350

Doctor of Medicine (M.D.)

Sarah Mannle , NP

Nurse Practitioner - Family

NPI 1659488526

Nurse Practitioner

Dr. Terri Cranfield , MD

Obstetrics & Gynecology

NPI 1710043369

Doctor of Medicine (M.D.)

Dr. Robin Matthews , MD

Obstetrics & Gynecology

NPI 1912908971

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 19, 2017

Registered at 35 FACILITY DR, CLYDE, NC 287219438 (Tel: 8284528110)

📍
Updated Practice Location April 19, 2017

Registered at 35 FACILITY DRIVE, MEDWEST, CLYDE, NC 28721 (Tel: 8284525042)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as JOHN KISH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Physician Assistant (License #103183 in NC)

NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2013

Registered at 35 FACILITY DRIVE, MEDWEST, CLYDE, NC 28721 (Tel: 8284525042)

📍
Updated Business Mailing Address September 12, 2013

Registered at 20 LAUREN LN, CANDLER, NC 287158349 (Tel: 3215372656)

👤
Provider Name / Credentials Updated September 12, 2013

Recorded as JOHN KISH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Physician Assistant (License #103183 in NC)

🟢
Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013910843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: April 19, 2017
Sole Proprietor: No

Mailing Address

35 Facility Dr

Clyde, NC 287219438

Phone: 8284528110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.