Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Heather Vediz, PAC

Individual provider Physician Assistant · NPI 1629066659

Angela Heather Vediz, PAC is a Physician Assistant in Joplin, Missouri. Qualified in 2002, 24 years ago. Practices with Dermatology and Skin Cancer Specialists LLC, a 44-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2829 S Jackson Ave
Joplin, MO 64804-2525
Phone: (417) 624-0440
Fax: (417) 624-9652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2003002304 (MO)

Record details

NPI number1629066659
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESAugust 8, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dermatology And Skin Cancer Specialists Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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