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

Petter Mawad Rophael, PA

Individual provider Physician Assistant · NPI 1235869272

Petter Mawad Rophael, PA is a Physician Assistant in Charlotte, North Carolina. Works from 4 locations. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2022
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-0720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2001 Vail Ave, Charlotte, NC 28207-1248 — (704) 304-6070
  • 10628 Park Rd, Charlotte, NC 28210-8407 — (704) 667-7070
  • 8800 N Tryon St, Charlotte, NC 28262-3300 — (704) 863-6241

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11733 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 0010-11733 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 4882 (SC)

Record details

NPI number1235869272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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