Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 92

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Physician Assistant Providers

NPI Name Type Address

1194775882

PA Jason Nagel

Individual

250 N Wickham Rd

Melbourne, FL

1073520565

PA-C Sandra Marie Trent

Individual

2900 Veterans Way

Melbourne, FL

1629182639

MR. PA-C Timothy John Phillips

Individual

1350 Hickory St

Melbourne, FL

1861568115

PAC Vicki L Cooper

Individual

2080 W Eau Gallie Blvd

Suite A

Melbourne, FL

1447326640

PAC Jacques J Denizard

Individual

2080 W Eau Gallie Blvd

Suite A

Melbourne, FL

1841366994

PAC Jose M Vega

Individual

2080 W Eau Gallie Blvd

Suite A

Melbourne, FL

1174574644

MR. PA-C Christopher Lee Pheils

Individual

2900 Veterans Way

Melbourne, FL

1700072725

RPA-C Delia Vona

Individual

720 E New Haven Ave

Melbourne, FL

1649440306

PHYSICIAN ASSISTANT David Wayne Clendenin

Individual

1403 Highland Ave

Melbourne, FL

1114093804

PAC Peggy Frederique-bell

Individual

2080 W Eau Gallie Blvd

Suite A

Melbourne, FL

1578557567

PA Lynn Ann Meyer

Individual

655 S Apollo Blvd

Melbourne, FL

1083864987

PA-C Nicole F Taft

Individual

2080 W Eau Gallie Blvd

Melbourne, FL

1841234721

PHYSICIAN ASSISTANT Christopher Stanley Cole

Individual

401 N Wickham Rd

Suite S

Melbourne, FL

1700888989

PA Dennis Ryan

Individual

250 N Wickham Rd

Melbourne, FL

1700866647

PA C Beverly Ann Collins

Individual

8095 Spyglass Hill Road

Suite 101

Melbourne, FL

1417912494

PA-C Jennifer Lang

Individual

1130 S Harbor City Blvd

Suite 101

Melbourne, FL

1912290495

PA-C Richard Michael Greene

Individual

1350 Hickory St

Melbourne, FL

1699841932

PAC Tina M Campanile

Individual

2080 W Eau Gallie Blvd

Suite A

Melbourne, FL

1457436966

MS. PA Emily L Russ

Individual

911 Columbus Ave

Melbourne, FL

1881669497

MRS. PA-C Sara Virginia Hagler

Individual

1350 South Hickory St

Holmes Reg Med Center

Melbourne, 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