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

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Physician Assistant Providers

NPI Name Type Address

1003847302

MRS. PA Andrea M Person

Individual

1000 Mar Walt Dr

Fort Walton Beach, FL

1841693504

PA-C Rachel Marie Samuelson

Individual

930 Mar Walt Drive

Unit C

Fort Walton Beach, FL

1225669443

PA-C Elizabeth Rogers Nagengast

Individual

930 Mar Walt Drive, Unit C

Fort Walton Beach, FL

1154953743

John Loftis

Individual

930 Mar Walt Drive

Unit C

Fort Walton Beach, FL

1174914758

MR. PA-C Nolan Mark Renner

Individual

341 Racetrack Rd Nw Ste C

Fort Walton Beach, FL

1902356579

MRS. PA-C Sara Kelly Erdwins

Individual

912 Mar Walt Dr

Fort Walton Beach, FL

1396997227

MRS. P.A.-C Kate Elisabeth Silva

Individual

1005 Mar Walt Drive

Immediate Care Department

Fort Walton Beach, FL

1760421960

MS. PA Kimberly Mae Burke

Individual

1005 Mar Walt Drive

Snf Hospitalist

Fort Walton Beach, FL

1841384435

PA-C Douglas James Block

Individual

133 Racetrack Rd Nw

Fort Walton Beach, FL

1144797366

PA Sara Rothe

Individual

514 Mary Esther Cut Off Nw

Fort Walton Beach, FL

1386011757

PA-C Joshua Joseph Poggi

Individual

1000 Mar Walt Dr

Fort Walton Beach, FL

1427511682

PA-C Kevin William Burton

Individual

1032 Mar Walt Dr Unit 230

Fort Walton Beach, FL

1427525195

Katelyn Robson

Individual

38 Carson Dr Se Apt 304

Fort Walton Beach, FL

1316696685

PA-C Kristen Dean

Individual

992 Brinkley Ct

Fort Walton Beach, FL

1457369647

MR. P.A. Peter R. Devuyst

Individual

339 Racetrack Rd Nw

Suite 17

Fort Walton Beach, FL

1538271226

MRS. PA-C Katia V. Murphy-blount

Individual

1032 Mar Walt Dr Unit 230

Northwest Florida Heart Institute

Fort Walton Beach, FL

1780247130

PA-C Noor Bashar Albashir

Individual

345 Miracle Strip Pkwy Sw

Fort Walton Beach, FL

1457681991

PA Scott Allen Zastrow

Individual

1005 Mar Walt Drive

Immediate Care Department

Fort Walton Beach, FL

1841765351

PA-C Mallory Hope Maddox

Individual

1005 Mar Walt Drive

Immediate Care Department

Fort Walton Beach, FL

1528781655

PA Diana Manis Fick

Individual

341 Racetrack Rd Nw Ste B

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