Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Star Ray Chenoweth, PA-C

Individual provider Medical Physician Assistant · NPI 1386970614

Mr. Star Ray Chenoweth, PA-C is a Physician Assistant in Carson City, Nevada. Qualified in 2009, 17 years ago. Practices with Humboldt General Hospital, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
17
Licensed in
NV
In the registry since
2009
Specialties on file
2
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

973 Mica Dr Ste 201
Carson City, NV 89705-7255
Phone: (775) 783-6190
Fax: (775) 783-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1183 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1183 (NV)

Record details

NPI number1386970614
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2009
Last updated in NPPESOctober 4, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Humboldt General Hospital — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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