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

Mr. Ward Irvin Jr., PA

Individual provider Physician Assistant · NPI 1831555747

Mr. Ward Irvin Jr., PA is a Physician Assistant in Syracuse, New York. Qualified in 2015, 11 years ago. Practices with St Josephs Medical PC, a 385-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

104 Union Ave Ste 908
Syracuse, NY 13203-1845
Phone: (315) 425-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019415 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 019415 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 019415 (NY)

Record details

NPI number1831555747
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 7, 2016
Last updated in NPPESJanuary 7, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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