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

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Physician Assistant Providers

NPI Name Type Address

1215921705

PA Paul Allen Walck

Individual

1650 Cochrane Cir Bldg 7503

Fort Carson, CO

1386110682

PA-S Jonathan Chase Richardson

Individual

1650 Cochrane Cir

Fort Carson, CO

1275009599

Michael Denkewalter

Individual

1650 Cochrane Cir

Fort Carson, CO

1760959134

Christopher Benavidez

Individual

1650 Cochrane Cir

Fort Carson, CO

1801251582

PA-C Matthew Ford

Individual

Evans Army Community Hospital, 1650 Cochrane Cir B7500

Attn: Butts Army Airfield Medical Clinic, Bldg 9621

Fort Carson, CO

1821582891

PA-C Derek Wahl

Individual

1650 Cochrane Cir # B7500

Fort Carson, CO

1073168571

PA-C Daniel Douglas

Individual

Evans Army Community Hospital

650 Cochrane Circle

Fort Carson, CO

1518279637

PA-C Mark J Vonderharr

Individual

1650 Cochrane Cir # B7500

Fort Carson, CO

1285270009

James Buczek

Individual

Butts Army Airfield Medical Clinic

3524 Airfield Rd

Fort Carson, CO

1992339485

PA-C Joshua Martin Quertinmont

Individual

1650 Cochrane Circle Bldg 7505

Credentials Office, Rm #163

Fort Carson, CO

1568990356

Megan Kuchenbecker

Individual

1650 Cochrane Cir # B7500

Fort Carson, CO

1689140881

PA-C Andrew Joseph French

Individual

1650 Cochrane Cir

Fort Carson, CO

1801405626

Anthony Mark Nicholson

Individual

1650 Cochrane Cir Bldg 7505

Fort Carson, CO

1508276635

PA-C, ATC Daniel Tyler Moss

Individual

1650 Cochrane Cir Unit Meddac

Fort Carson, CO

1104479542

Shawn Heisler

Individual

1650 Cochrane Cir

Fort Carson, CO

1992127054

P.A-C Robert Ventura

Individual

1650 Cochrane Cir

Fort Carson, CO

1245889484

PA-C Mitchell Mayfield

Individual

1650 Cochrane Cir

Fort Carson, CO

1659989440

PA-C Patrick Ogden

Individual

1650 Cochrane Cir

Fort Carson, CO

1225305105

MR. PA-C Ronald Dunston

Individual

1650 Cochrane Cir

Fort Carson, CO

1265100564

MR. PA-C Rodney Micah Faught II

Individual

3524 Airfield Rd

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