Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 64

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Physician Assistant Providers

NPI Name Type Address

1467480905

PA-C Diana B Moreland

Individual

405 W Jackson St

Carbondale, IL

1811464381

PA-C Timothy B O'leary

Individual

405 W Jackson St

Carbondale, IL

1588949861

PA Daniel Ralls

Individual

405 W Jackson St

Carbondale, IL

1346862984

MRS. PA-C Jennifer Ann Sanders

Individual

409 W Oak St

Carbondale, IL

1063660074

P.A. Nathaniel Clark

Individual

409 W Oak St

Carbondale, IL

1154334258

P.A.-C. Anne E. Fairfield

Individual

409 W Oak St

Carbondale, IL

1598277907

PHYSICIAN ASSISTANT Mallory Gauthier

Individual

207 W Jackson St Ste 201

Carbondale, IL

1033250576

MS. PA-C Nicole A Johnson

Individual

405 W Jackson St

Carbondale, IL

1609499615

MRS. Lisa Christine Baranski

Individual

405 W Jackson St

Carbondale, IL

1750471595

PA Tarah Elissa Cranick

Individual

405 W Jackson St

Carbondale, IL

1528680162

Mitchell Wayne Sanders

Individual

2601 W Main St

Carbondale, IL

1396384533

PA Daniel Sherwood

Individual

305 W Jackson St Ste 103

Carbondale, IL

1104443258

Kilmeny Clark

Individual

300 W Oak St

Carbondale, IL

1770192122

PA-C Emily Lynne Zurliene

Individual

2601 W Main St

Carbondale, IL

1477175446

MSPA, PA-C Mimi Charter

Individual

405 W Jackson St

Carbondale, IL

1730578535

Desiree Castonguay

Individual

409 W Oak St Ste 202

Carbondale, IL

1891316212

Amanda Roye

Individual

409 W Oak St

Carbondale, IL

1396842480

P.A. Laura R Kidd

Individual

305 W Jackson St Ste 200

Carbondale, IL

1457722910

MR. PA-C Ethan Weshinskey

Individual

400 S Lewis Ln

Carbondale, IL

1326768227

PA-C Elizabeth Sternberg

Individual

300 W Oak St

Carbondale, IL

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