Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. JASON R SOUTHALL
Active
Individual
MR. JASON R SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01257
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080128
—
OH
05
—
1316117930
—
WV
05
—
7100109950
—
KY
01
—
P0071530
RR
WV
Enumeration date
03/11/2008
Last updated
02/16/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers