Individual
MR. JASON KENT WINEBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00709
OR
363AS0400X
Surgical Physician Assistant
Primary
PA00709
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003645
RAILROAD MEDICARE
—
05
—
261198
—
OR
01
—
610098800
US DEPT OF LABOR
—
Enumeration date
03/23/2007
Last updated
01/06/2026
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