Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 40

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Physician Assistant Providers

NPI Name Type Address

1003902446

MRS. PA Jill Virginia Ash

Individual

339 Racetrack Rd

Suite 2

Fort Walton Beach, FL

1174517627

PA-C Michael Andrew Johnson

Individual

1005 Mar Walt Dr

Internal Medicine Department

Fort Walton Beach, FL

1275518086

PA-C Gerardo Cruz

Individual

1005 Mar Walt Dr

Internal Medicine Department

Fort Walton Beach, FL

1669410924

PA-C Charles Joseph Clancy

Individual

1005 Mar Walt Dr

Immediate Care Department

Fort Walton Beach, FL

1740581172

PA Megan Ann Dixon-sherman

Individual

137 Hospital Dr Ne

Fort Walton Beach, FL

1285647099

PA Julia A Sandwith

Individual

918 Mar Walt Dr

Fort Walton Beach, FL

1528133329

PA Stephanie Ann Blubaugh

Individual

1005 Mar Walt Drive

Family Medicine Department

Fort Walton Beach, FL

1962471987

PA-C Alicia R. Morneault

Individual

417a Racetrack Rd Nw

Suite 2

Fort Walton Beach, FL

1982073011

Brittany Brock

Individual

514 Mary Esther Cut Off Nw

Fort Walton Beach, FL

1215958848

PA-C Francis E Kidwell III

Individual

2010 Lewis Turner Blvd

Fort Walton Beach, FL

1619340114

PA-C Judy Cavazos

Individual

514 Mary Esther Cut Off Nw

Fort Walton Beach, FL

1629053442

PA-C Max Reid Dawkins

Individual

1005 Mar Walt Dr

Immediate Care Department

Fort Walton Beach, FL

1336124098

PA-C Harold Timothy Johnson

Individual

1005 Mar Walt Dr

Family Medicine Department

Fort Walton Beach, FL

1942205190

MR. PA Scot T Williams

Individual

1034 Mar Walt Dr

Suite 100

Fort Walton Beach, FL

1033665690

MRS. PA-C Megan Antinone

Individual

1000 Mar Walt Dr

Fort Walton Beach, FL

1881870657

MS. PAC Courtney Lane Loper

Individual

1024 Mar Walt Dr

Fort Walton Beach, FL

1568409324

PA-C Sunday Nesbit Laird

Individual

1005 Mar Walt Drive

Nursing Home Department

Fort Walton Beach, FL

1699259333

PA-C Jordan Abraham Kottler

Individual

1000 Mar Walt Drive

Wwmc Intensivits Program

Fort Walton Beach, FL

1104301332

PA Nicholas Joseph Dokianos

Individual

1000 Mar Walt Dr

Fort Walton Beach, FL

1003112715

P.A. Danielle Horton

Individual

914 Mar Walt Dr Ste A

Fort Walton 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