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

Desta A Wako

Individual provider Medical Physician Assistant · NPI 1033984844

Desta A Wako is a Medical Physician Assistant in Pickerington, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
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Practice location Address checks out

3324 Wigham Ct
Pickerington, OH 43147-9523
Phone: (614) 316-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 883534155 (OH)

Record details

NPI number1033984844
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address3324 Wigham Ct, Pickerington, OH 43147-9523

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