Provider Demographics
NPI:1356673404
Name:NEUMANN, GERALYN WHEELER (RPA-C)
Entity type:Individual
Prefix:MS
First Name:GERALYN
Middle Name:WHEELER
Last Name:NEUMANN
Suffix:
Gender:
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 FOREST VIEW LN
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6003
Mailing Address - Country:US
Mailing Address - Phone:585-613-2934
Mailing Address - Fax:
Practice Address - Street 1:708 N MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-3634
Practice Address - Country:US
Practice Address - Phone:540-552-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-31
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110007804363A00000X
NY008718-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1598707812OtherGROUP NPI
NYP66217Medicare UPIN