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

Justin A Cantrell, PA-C

Individual provider Physician Assistant · NPI 1467950071

Justin A Cantrell, PA-C is a Physician Assistant in West Chester, Ohio. Qualified in 2017, 9 years ago. Practices with Impact Physician Group Ohio LLC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8040 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone: (513) 246-2300
Fax: (513) 852-3876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4160 Little York Rd Ste 10, Dayton, OH 45414-5803 — (937) 415-9100
  • 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 — (513) 246-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005432 (OH)

Record details

NPI number1467950071
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Impact Physician Group Ohio Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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