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

Jack Cabel Yoder, PA

Individual provider Physician Assistant · NPI 1225859713

Jack Cabel Yoder, PA is a Physician Assistant in Roanoke, Virginia. Qualified in 2024, 2 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010635 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225859713
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2024
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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