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

Ryan Scott Rafa

Individual provider Physician Assistant · NPI 1124663232

Ryan Scott Rafa is a Physician Assistant in Morgantown, West Virginia. Qualified in 2020, 6 years ago. Practices with Grandw Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2019

Practice location Address checks out

1005 White Willow Way
Morgantown, WV 26505-6119
Phone: (304) 460-5123
Fax: (800) 734-8498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 — (304) 598-1200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2428 (WV)

Record details

NPI number1124663232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2019
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Morgantown