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JEROME J UPCHURCH SA-C, CSFA
NPI 1023557618
Physician Assistant - Surgical in North Potomac, MD

Active since February 16, 2017
15811 CHAGALL TER, NORTH POTOMAC, MD 20878(215) 518-2138 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2018, Feb 16, 2017 (2 updates tracked since 2017).

About Jerome J Upchurch Sa-c, Csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME J UPCHURCH SA-C, CSFA (NPI 1023557618) is an individual surgical provider in North Potomac, Maryland and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1023557618
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJEROME J UPCHURCHCredential: SA-C, CSFA
Location Address15811 CHAGALL TERNorth Potomac, MD 20878-3461
Mailing Address15811 Chagall TerNorth Potomac, MD 20878-3461 · (215) 518-2138
Phone(215) 518-2138
Sole ProprietorYes
Enumeration DateFebruary 16, 2017
Last NPPES UpdateSeptember 12, 20182 updates tracked since enumeration
✔ NPI 1023557618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
15811 CHAGALL TER, North Potomac, MD 20878
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Upchurch's NPI number?

The NPI number for Jerome Upchurch is 1023557618. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Jerome Upchurch located?

Jerome Upchurch practices at 15811 Chagall Ter, North Potomac, MD 20878. The listed phone number is (215) 518-2138.

What is Jerome Upchurch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jerome Upchurch was last updated on September 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.