Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 68

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Physician Assistant Providers

NPI Name Type Address

1780655019

MR. PHYSICIAN ASSISTANT James Richard Fojtek

Individual

Usa Meddac, Evans Army Community Hospital

Tooele Army Depot, Bldg 400

Fort Carson, CO

1639143654

MR. PHYSICIAN ASSISTANT Glenn Kingery JR.

Individual

1853 Oconnell St

Bldg 1042

Fort Carson, CO

1538261854

MR. PA-C Nick Vigil

Individual

Evans Army Community Hospital Each Usa Meddac

1650 Cochrane Cir, Attn: Credentials Office

Fort Carson, CO

1205909124

MR. PA-C Arnaldo Francisco Zelaya

Individual

Bldg #1041 Barkley Ave

Diraimando Medical Clinic

Fort Carson, CO

1649323312

MR. PA-C Christopher Berardo Cordova

Individual

1650 Cochrane Cir

Fort Carson, CO

1497897748

MR. PA-C Scott Edward Anderson

Individual

Diraimondo Troop Medical Clinic #9

Fort Carson, CO

1104952209

MR. PA Jorge Luis Lopez

Individual

1650 Cochrane Cir

Attn Credentials Office

Fort Carson, CO

1689687576

PA Andrew Joseph Flores

Individual

1650 Cochrane Cir

Fort Carson, CO

1790011757

MRS. PA-C Tracie Tue Dominguez

Individual

1650 Cochrane Cir

Fort Carson, CO

1306825773

MRS. PA-C Shirley Jean Tyler

Individual

1650 Cochrane Cir

Evans Family Medicine Clinic

Fort Carson, CO

1821370214

PA-C Shaun Kelly Johnson

Individual

1650 Cochrane Cir

Credentials Office Rm 2537

Fort Carson, CO

1003199811

PA-C James Kennedy Hardin

Individual

6327 Okinawa Dr

Fort Carson, CO

1932139748

PA-C Dalton Maples JR.

Individual

1853 Oconnell Blvd

Building 1042

Fort Carson, CO

1730339946

PA-C Darryl William Sandberg

Individual

Hhc 1/2 Aviation Regiment

Aviation Medicine Clinic Bldg 1058

Fort Carson, CO

1265422273

MS. PA Kelly Hannan Giraud

Individual

1650 Cochrane Circle

Evans Army Community Hospital

Fort Carson, CO

1922371251

PA-C Lindsey Shay Masdeu

Individual

1650 Cochrane Cir

#7500

Fort Carson, CO

1235264508

MS. PA-C Cathy Ann Oly

Individual

1650 Cochrane Cir

Bldg 7489- Warrrior Recovery Center

Fort Carson, CO

1578796587

APA-C Paul Auchincloss

Individual

1650 Cochrane Cir

Building 7500

Fort Carson, CO

1659428209

MISS MPAS, PA-C Anne Elizabeth Fuller

Individual

1853 Oconnell Blvd

Bldg. 1042

Fort Carson, CO

1376974295

MS. PA-C Jamie Mueller

Individual

1650 Cochrane Cir

Fort Carson, CO

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