Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andyara Euzebio Passos, PA-C

Individual provider Medical Physician Assistant · NPI 1194419994

Andyara Euzebio Passos, PA-C is a Physician Assistant in South Charleston, West Virginia. Qualified in 2023, 3 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
3
Licensed in
WV
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 766-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1320 Maplewood Ave, Ronceverte, WV 24970-8016 — (304) 647-4411

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2742 (WV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2742 (WV)

Record details

NPI number1194419994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ths Physician Partners Inc — 359 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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