Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 8

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Physician Assistant Providers

NPI Name Type Address

1720195530

PA Ryan T Mcculloch

Individual

147 W Chubbuck Rd

Chubbuck, ID

1760451454

PA-C Leslie Irene Burnside

Individual

147 W Chubbuck Rd

Chubbuck, ID

1740650548

Brent Leavitt

Individual

4928 Pleasant View Dr

Chubbuck, ID

1992716674

MRS. PA-C Amy Louise Mckinlay

Individual

147 W Chubbuck Rd

Chubbuck, ID

1437469830

MRS. PA-C Rachel M Koster

Individual

4650 Hawthorne Road,

Suite 3b

Chubbuck, ID

1053502955

PA-C Renee Lynn Katter

Individual

4460 Kings Way Ste 3

Chubbuck, ID

1659035301

PA-C Ryan Daniel Wolfley

Individual

4650 Hawthorne Rd Ste 3b

Chubbuck, ID

1457927204

PA-S Michaela Sophia Butler

Individual

4650 Hawthorne Rd Ste 3b

Chubbuck, ID

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