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

Jeffrey Glen Hart, PA-C

Individual provider Medical Physician Assistant · NPI 1396728846

Jeffrey Glen Hart, PA-C is a Medical Physician Assistant in Fort Drum, New York. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2005
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

11050 Mount Belvedere Blvd USA Meddac/credentials
Fort Drum, NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
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 50-000688 (OH)

Record details

NPI number1396728846
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 29, 2005
Last updated in NPPESJuly 8, 2007

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