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

Cody A Ezolt, PA-C

Individual provider Physician Assistant · NPI 1154983757

Cody A Ezolt, PA-C is a Physician Assistant in Waynesboro, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Heritage Valley Multispecialty Group Inc, a 233-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

601 E Main St
Waynesboro, PA 17268-2332
Phone: (717) 765-5088
Fax: (717) 765-5066
Show map & directions

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

Additional practice locations (3)

  • 1000 Norland Ave, Chambersburg, PA 17201-4229 — (717) 267-6363
  • 24 Antrim Commons Dr, Greencastle, PA 17225-1623 — (717) 597-5553
  • 46 Walnut Bottom Rd Ste 100, Shippensburg, PA 17257-8219 — (717) 477-2764

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060824 (PA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154983757
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Heritage Valley Multispecialty Group Inc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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