Provider Demographics
NPI:1699728014
Name:CERAMI, ARTHUR J JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:J
Last Name:CERAMI
Suffix:JR
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:MATHIAS
Mailing Address - State:WV
Mailing Address - Zip Code:26812-0132
Mailing Address - Country:US
Mailing Address - Phone:304-897-5915
Mailing Address - Fax:
Practice Address - Street 1:106 HAROLD K MICHAEL
Practice Address - Street 2:
Practice Address - City:MATHIAS
Practice Address - State:WV
Practice Address - Zip Code:26812
Practice Address - Country:US
Practice Address - Phone:304-897-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00692363A00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant