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

Jason S. Kidd, PA-C

Individual provider Medical Physician Assistant · NPI 1093939183

Jason S. Kidd, PA-C is a Physician Assistant in West Milford, West Virginia. Qualified in 2003, 23 years ago. Practices with Community Care of West Virginia, Inc, a 87-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
23
Licensed in
WV
In the registry since
2007
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

924 Liberty St
West Milford, WV 26451
Phone: (304) 745-4568
Fax: (304) 326-3700
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 01023 (WV)

Record details

NPI number1093939183
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 16, 2013

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)
Group practice Community Care Of West Virginia, Inc. — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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