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

Jack Doty III, PA

Individual provider Physician Assistant · NPI 1801254412

Jack Doty III, PA is a Physician Assistant in Delbarton, West Virginia. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
23
Licensed in
WV
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5027 Helena Ave
Delbarton, WV 25670-1301
Phone: (304) 475-1761
Fax: (304) 475-1762
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1970 (WV)

Record details

NPI number1801254412
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address7400 Lynn Ave, Hamlin, WV 25523-1138

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount