Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 13

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Physician Assistant Providers

NPI Name Type Address

1649348178

MRS. BS IN PA Susan Garman Suer

Individual

Eisenhower Army Medical Center

East Hospital Road

Fort Gordon, GA

1740341429

MR. John David Sanders

Individual

300 W Hospital Rd

Fort Gordon, GA

1891843124

PA Pamela Ann Hiener

Individual

300 W Hospital Rd

Attn Credentials

Fort Gordon, GA

1659428423

MS. PHYSICIAN ASSISTANT Signe Alexis Erne

Individual

300 W Hospital Road

Od Eisenhower Army Medical Center

Fort Gordon, GA

1063473510

MR. PA-C Nathan David Tavolieri

Individual

300 W Hospital Rd

Building 329

Fort Gordon, GA

1699828152

MR. PA-C Kenneth B. Roland JR.

Individual

300 W. Hospital Road

Eisenhower Army Medical Center

Fort Gordon, GA

1619032349

OTRL, PA Helen Minnetta Putnam

Individual

300 E. Hospital Road

Eisenhower Army Medical Center

Fort Gordon, GA

1427116102

PA-C Evelyn Ferrer

Individual

300 Hospital Rd.

Family Medicine Clinic

Fort Gordon, GA

1861657447

MR. MPA-C Eugene Dale Beverly

Individual

300 W Hospital Rd

Connelly Health Clinic

Fort Gordon, GA

1538146485

MR. PA-C William James Nieding

Individual

300 East H

Dwight David Eisenhower Army Medical Center

Fort Gordon, GA

1578623799

MR. PA-C George Timothy Cassidy

Individual

300 W Hospital Rd

Attn Credentials

Fort Gordon, GA

1497002240

DR. PA-C Tania I. Didas

Individual

300 W Hospital Rd

Fort Gordon, GA

1194753525

MRS. PA Sunny Maria Holden

Individual

300 E Hospital Road, Building T-300

Eisenhower Army Med Center Orthopedic Surgery Dept

Fort Gordon, GA

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