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

Individual provider Physician Assistant · NPI 1174034359

Cody Janton Heintzelman, PA-C is a Physician Assistant in Selinsgrove, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Family Practice Center PC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
9
Licensed in
FL, PA
In the registry since
2017
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

270 Susquehanna Valley Mall Dr Ste 800
Selinsgrove, PA 17870-9124
Phone: (570) 884-7925
Fax: (570) 374-7932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Memorial Medical Pkwy Ste 101, Palm Coast, FL 32164-5979 — (386) 586-1523

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121574 (FL)
Physician Assistant Taxonomy 363A00000X · Licence MA059718 (PA)

Record details

NPI number1174034359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 16, 2017
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Practice Center Pc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Selinsgrove