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

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Physician Assistant Providers

NPI Name Type Address

1851302046

PA Leslie D Conner

Individual

651 Memorial Dr

Pocatello, ID

1801976923

PAC Ranmali Kalyani Walaliyadda

Individual

1448 E Center St

Suite E

Pocatello, ID

1841487840

MR. PA Nic A Hale

Individual

495 Yellowstone Ave

Pocatello, ID

1336321181

PA-C Jami Sue Price

Individual

845 W Center St

Suite 200

Pocatello, ID

1558545624

MRS. PA-C Charlynn S. Perkes

Individual

495 Yellowstone Ave

Physicians Immediate Care Center

Pocatello, ID

1255315974

PA Lana Borgholthaus

Individual

465 Memorial Dr

Pocatello, ID

1154481224

MS. PA-C Lindsey Scott

Individual

1901 Alvin Ricken Dr

Pocatello, ID

1457352734

MR. PA Walter A Stein

Individual

444 Hospital Way

Suite 801

Pocatello, ID

1689977019

MR. MPAS, PA-C Karl M Letko

Individual

500 S 11th Ave

Suite 503

Pocatello, ID

1851385538

PA-C Matthew L Mckinlay

Individual

2240 E Center St

Pocatello, ID

1891191474

PA-C Natalie Miller

Individual

777 Hospital Way

Pocatello, ID

1710358007

PA-C Matthew Gregson

Individual

1151 Hospital Way Bldg A

Pocatello, ID

1922262542

MR. PA-C Justus Flin Lambson

Individual

1595 Yellowstone Ave

Pocatello, ID

1336694629

PA-C Brian S Watson

Individual

777 Hospital Way

Pocatello, ID

1144601865

PA-C Tanner D Mitton

Individual

950 Hospital Way

Ste A

Pocatello, ID

1740212190

PA-C Steven Boe Simmons

Individual

2240 E Center St

Pocatello, ID

1992019202

PA-C Logan D Higbee

Individual

1000 N 8th Ave

Pocatello, ID

1255808010

PA-C Tawny Alice Spurlock

Individual

110 Vista Dr

Pocatello, ID

1700391620

PA Kaitlin L Cox

Individual

777 Hospital Way Ste 300

Pocatello, ID

1790334464

PHYSICIAN ASSISTANT Marley Rae Nielson

Individual

333 N 18th Ave Ste B3

Pocatello, 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