Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 65

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Physician Assistant Providers

NPI Name Type Address

1336193044

MRS. PA-C Kandace F Vagovic

Individual

517 Health Blvd

Daytona Beach, FL

1609018092

PA John Hunter Protheroe

Individual

303 North Clyde Morris Bl

Halifax Health Medical Center

Daytona Beach, FL

1346457876

PA-C Cynthia C. Davenport

Individual

695 N Clyde Morris Blvd

Daytona Beach, FL

1689976037

MRS. PA-C Tammy Diane Grayson

Individual

305 Memorial Medical Pkwy

Suite 205

Daytona Beach, FL

1073568747

PA Anthony A. Azzarello

Individual

303 No. Clyde Morris Blvd.

Halifax Medical Center - Chest Pain Center

Daytona Beach, FL

1215234984

PA Angela L Ricci

Individual

301 Memorial Medical Pkwy

Daytona Beach, FL

1790129237

Kristin Birkedal

Individual

1133 6th St

Daytona Beach, FL

1023153418

PA-C Celeste Nadine Welch

Individual

301 Memorial Medical Parkway

Florida Memorial Medical Center

Daytona Beach, FL

1093924136

MR. PA-C Andrew George Giaconi

Individual

1040 Mason Ave

Daytona Beach, FL

1750323978

MR. PAC David J Jones

Individual

721 S Beach St Apt 214a

Daytona Beach, FL

1659525681

P.A. Kenneth Edward Nida

Individual

320 N Clyde Morris Blvd

Daytona Beach, FL

1316196272

PA Mathew Dale Taylor

Individual

303 N Clyde Morris Blvd

Daytona Beach, FL

1831506518

PA-C John Krogh III

Individual

303 N Clyde Morris Blvd

Daytona Beach, FL

1104297829

MS. P.A Adrianne Newton

Individual

303 S. Clyde Morris Blvd.

Daytona Beach, FL

1538537378

Adam Bergin

Individual

305 Memorial Medical Pkwy

Suite 206

Daytona Beach, FL

1104262781

PA Travis David Long

Individual

303 N Clyde Morris Blvd

Daytona Beach, FL

1427116235

PA Maura Hertzog

Individual

1671 N Clyde Morris Blvd

Suite 100

Daytona Beach, FL

1730603317

Abigail Flores

Individual

301 Memorial Medical Pkwy

Daytona Beach, FL

1932680881

MR. PA-C Jamie J Johnson

Individual

1890 Lpga Blvd Ste 130

Daytona Beach, FL

1942754965

PA-C Suzanna Leigh Perkins

Individual

303 N Clyde Morris Blvd

Daytona Beach, FL

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