Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 17

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Physician Assistant Providers

NPI Name Type Address

1952441305

PA-C Kellee J Crockett

Individual

1032 S Bridgway Pl

Suite 100

Eagle, ID

1689627069

P.A. John David Mcdermott

Individual

3101 E State St

Suite 2120

Eagle, ID

1346647526

PA Bradley Morris

Individual

3217 W Bavaria St

Eagle, ID

1346791613

PA-C Kristen Leenhouts

Individual

2582 N Eagle Rd

Eagle, ID

1326357070

PA-C Amber Ann Hackenberg

Individual

323 E Riverside Drive

Ste 224

Eagle, ID

1891206777

PA-C Jessica Lee Wohlschlegel

Individual

323 E Riverside Dr Ste 224

Eagle, ID

1801370945

PA-C Bryan David Harr

Individual

1675 E Riverside Dr

Eagle, ID

1588987309

PA-C Andrew Reed Crawford

Individual

3217 W Bavaria St

Eagle, ID

1447483086

MR. PA-C Matthew Valley

Individual

1605 E Riverside Dr

Eagle, ID

1609887801

PA Jeffery L Johnson

Individual

3217 W Bavaria Street

Eagle, ID

1770925257

MR. PA-C, DPT, CSCS Joshua James Wageman

Individual

951 E Plaza Dr Ste 110

Eagle, ID

1962081810

MRS. PA-C Crystal Noel Odegard

Individual

1079 S Ancona Ave Ste 100

Eagle, ID

1558735514

PA-C Samuel Shinkle

Individual

435 S Eagle Rd

Eagle, ID

1629228978

PA Talia M Sierra

Individual

3217 W Bavaria Street

Eagle, ID

1285304378

PA-C Layla Ericson

Individual

2025 E Riverside Dr Ste 160

Eagle, ID

1629446661

PA-C Lori Katherine Ebinger

Individual

323 E Riverside Dr Ste 234

Eagle, ID

1588826846

MRS. PA-C, MPAP Erin M Renak

Individual

1079 S Ancona Ave Ste 100

Eagle, 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