Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 37

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Physician Assistant Providers

NPI Name Type Address

1982786380

PA-C Kyle Gene Cooper

Individual

6069 Walkers Ln

Eglin Afb, FL

1750611216

PA Benjamin David Ingram

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1346450038

PHYSICIAN ASSISTANT Ralph Pierce

Individual

307 Boatner Rd

Eglin Afb, FL

1356590392

P.A. Susan Kay Van Nevel

Individual

307 Boatner Rd

Eglin Afb, FL

1598155350

Ryan Seymour

Individual

96 Boatner Dr

Eglin Afb, FL

1851747513

Lindsey Jeanne Hatcher

Individual

307 Boatner Rd

Eglin Afb, FL

1821426362

MR. PA-C Derek Ryan Roberts

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1568853034

PA Steven Wendover

Individual

307 Boatner Rd

Eglin Afb, FL

1093203697

MRS. PA-C Nicole Lisa Sparks

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1134437999

PA Heather Elaine Williams

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1568015105

PA Kylie Hamilton

Individual

307 Boatner Rd

Eglin Afb, FL

1801434964

Bryan Meek

Individual

307 Boatner Rd

Eglin Afb, FL

1093995748

DR. DSC, EMPA-C Michael Joseph Rabener

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1154640019

MR. PA-C Jason Thomas Crays

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1053577213

PA-C Lainey Medine Petty

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1962738344

PA-C Gloria J Heater

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1821600024

MR. David George Morrison JR.

Individual

307 Boatner Rd

Eglin Afb, FL

1427681196

Bradley Burkey

Individual

307 Boatner Rd

Eglin Afb, FL

1386180818

PA-C Javier Porras

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

1982953105

PHYSICIAN ASSISTANT Trisha Benish

Individual

307 Boatner Rd Ste 114

Eglin Afb, 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