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LEAH D PETRUNGER PA-C
NPI 1104919828
Physician Assistant in Princeton, WV

Active since October 02, 2006
150 MISTY LANE, PRINCETON, WV 24740(304) 425-4040(304) 425-4041 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah D Petrunger Pa-c NPPES

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

LEAH D PETRUNGER PA-C (NPI 1104919828) is an individual physician assistant in Princeton, West Virginia, licensed in West Virginia (564) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104919828
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEAH D PETRUNGERCredential: PA-C
Location Address150 MISTY LANEPrinceton, WV 24740
Mailing Address300 Hunter ParkPrinceton, WV 24740-2533 · (304) 920-5122
Phone(304) 425-4040
Fax(304) 425-4041
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 8, 2016
✔ NPI 1104919828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 564
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
150 MISTY LANE, Princeton, WV 24740
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Other Identifiers 1

Medicaid3810002620WV

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 Leah Petrunger's NPI number?

The NPI number for Leah Petrunger is 1104919828. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Leah Petrunger located?

Leah Petrunger practices at 150 Misty Lane, Princeton, WV 24740. The listed phone number is (304) 425-4040.

What is Leah Petrunger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Leah Petrunger was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.