Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 17

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Physician Assistant Providers

NPI Name Type Address

1720067879

MS. PAC Darlene Marie Haviland

Individual

113 Elm St

Enfield, CT

1528399763

MR. PA-C David L Ozimek

Individual

140 Hazard Ave

Suite 101

Enfield, CT

1548247091

MR. PA Harold S Wright

Individual

113 Elm St

Suite 302

Enfield, CT

1831276021

MRS. PAC Susan Martins

Individual

170 Hazard Avenue

Enfield, CT

1295925956

MRS. PA C Melanie Jean Koumentakos

Individual

113 Elm St

Suite 304

Enfield, CT

1982672564

MR. PA Brian Thomas Maurer

Individual

155 Hazard Ave

Suite 14

Enfield, CT

1033296223

MRS. PA C Lori Ann Bryon

Individual

170 Hazard Ave

Enfield, CT

1215245543

P.A.-C Kaitlin G. Pulito

Individual

701 Enfield Street

Enfield, CT

1205276474

MR. P.A Brandon Tibbitts

Individual

113 Elm St

Enfield, CT

1528388709

MS. PA Stacy Brittany Beaupre

Individual

55 Hazard Ave

Enfield, CT

1487271680

PA-C Zachary Leone

Individual

74 Raffia Rd

Enfield, CT

1790800480

Crv Dermatology Llc

Organization

113 Elm St

Suite 200

Enfield, CT

1083162499

MRS. PA-C Bayyinah Michel-quintanilla

Individual

1699 King St

Enfield, CT

1548933211

Lauren Elizabeth Mazza

Individual

170 Hazard Ave

Enfield, CT

1316598709

PA-C Lawrence S. Benjamin

Individual

875 Enfield St

Enfield, CT

1760035547

Stephen Jason Sasso

Individual

55 Hazard Ave

Enfield, CT

1467195420

MR. Joshua David Robert

Individual

13 Tyler Rd

Enfield, CT

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