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

Thomas Ali Kidd Jr., PAC

Individual provider Physician Assistant · NPI 1053321075

Thomas Ali Kidd Jr., PAC is a Physician Assistant in Winchester, Virginia. Qualified in 1978, 48 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland and West Virginia.

Years since qualifying
48
Licensed in
MD, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

190 Campus Blvd Ste 200
Winchester, VA 22601
Phone: (540) 662-0306
Fax: (540) 662-5845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1050 W Industrial Blvd Ste 17, Cumberland, MD 21502-4331 — (240) 964-9300
  • 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 — (301) 689-3229
  • 45 Hunt Club Dr, Ridgeley, WV 26753-7567 — (304) 726-4501

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1053 (WV)
Physician Assistant Taxonomy 363A00000X · Licence C0000621 (MD)

Record details

NPI number1053321075
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winchester