Healthcare Provider Details

I. General information

NPI: 1437227832
Provider Name (Legal Business Name): KATHRYN PASSE CATHCART P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN M PASSE P.A.

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PETER JEFFERSON PKWY STE 100
CHARLOTTESVILLE VA
22911-4628
US

IV. Provider business mailing address

PO BOX 746550
ATLANTA GA
30374-6550
US

V. Phone/Fax

Practice location:
  • Phone: 434-654-8930
  • Fax: 434-654-8931
Mailing address:
  • Phone: 888-236-2263
  • Fax: 434-654-8931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA52862
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110003675
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: