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

Odyzza Jane Centro, PA-C

Individual provider Physician Assistant · NPI 1104583947

Odyzza Jane Centro, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2021, 5 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Virginia.

Years since qualifying
5
Licensed in
MD, VA
In the registry since
2021
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

8081 Innovation Park Dr Ste 500
Fairfax, VA 22031-4867
Phone: (571) 472-7040
Fax: (571) 472-7041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Congressional Ln Ste 409, Rockville, MD 20852-1542 — (301) 881-0230

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008245 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0008268 (MD)

Record details

NPI number1104583947
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2021
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address121 Congressional Ln Ste 409, Rockville, MD 20852-1542

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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