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

Zachary Ryan Dottor, PA-C

Individual provider Surgical Physician Assistant · NPI 1619749082

Zachary Ryan Dottor, PA-C is a Physician Assistant in Wilke Barre, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 E Mountain Blvd
Wilke Barre, PA 18711-0027
Phone: (570) 808-7861
Fax: (570) 808-1069
Show map & directions

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

Additional practice locations (1)

  • 601 Park St # 1445, Honesdale, PA 18431-1498 — (570) 253-8100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064884 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA064884 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence OA006668 (PA)

Record details

NPI number1619749082
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2023
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare