Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 19

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Physician Assistant Providers

NPI Name Type Address

1467407403

PA-C Rosemarie Banaga Palting

Individual

101 Bodin Cir

Travis Afb, CA

1356422521

MR. PA-C David Alan Dominguez

Individual

101 Bodin Circle

David Grant Medical Center

Travis Afb, CA

1033109392

MR. PA Michael Allan Raethka

Individual

60 Msgs Sgcxo

101 Bodin Circle

Travis Afb, CA

1508269218

PA-C Whitney Patrick

Individual

101 Bodin Cir

Travis Afb, CA

1396142311

P.A. Gregory Clifford Nelson

Individual

101 Bodin Cir

Travis Afb, CA

1649574427

MR. PA Jeremy James Barnett

Individual

101 Bodin Cir

60 Mdg/sgco

Travis Afb, CA

1295274611

Christopher Hu

Individual

101 Bodin Cir

Travis Afb, CA

1932594140

MS, PA-C Ben Kavoussi

Individual

101 Bodin Cir

Travis Afb, CA

1467780916

MR. PA-C Abraham Wang

Individual

101 Bodin Cir

Travis Afb, CA

1306068168

MRS. PA-C Erin Michele Crissman

Individual

60 Mdg/sgpf

101 Bodin Circle

Travis Afb, CA

1649582081

PA Dana Austin Hunter JR.

Individual

101 Bodin Cir

Travis Afb, CA

1821404039

MR. PA-C Diego Melgar-gray

Individual

101 Bodin Cir

Travis Afb, CA

1700404159

PA-C Katelyn Anne-metzger Warren

Individual

101 Bodin Cir

Travis Afb, CA

1053951434

PA-C Susana Quezada Awad

Individual

60 Mdg/hcos

101 Bodic Cir

Travis Afb, CA

1720239965

MR. PA-C Stephen E Vela

Individual

101 Bodin Cir

60 Medical Group David Grant Medical Center

Travis Afb, CA

1861973513

MR. Ryan Joel Banci Mintalar

Individual

101 Bodin Cir

Travis Afb, CA

1467891366

PA Samantha Luanne Guy

Individual

101 Bodin Circle

Attn: Credentials Office

Travis Afb, CA

1427519891

Erin Beaver

Individual

101 Bodin Cir

Travis Afb, CA

1902463391

PA-C Kyle David Ray

Individual

101 Bodin Cir

Travis Afb, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363A00000X
Display Name Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
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.
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Surgical Physician Assistant

363AS0400X • providers: 16,971