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

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Physician Assistant Providers

NPI Name Type Address

1497774095

PA-C James V Wright

Individual

1770 E Lake Shore Dr

Suite 207

Decatur, IL

1154464485

PA-C Loceean Laney

Individual

2120 N 27th St

Decatur, IL

1285713768

PA-C Tammy Kay Munch

Individual

102 W Kenwood Ave

Suite 110

Decatur, IL

1821147539

PA-C Dawn Lee Ackerman

Individual

3131 N Water St

Decatur, IL

1912211616

P.A. Thamara Valais

Individual

2300 N Edward St

Decatur, IL

1861680704

MR. P.A. Zachary Lee Sowa

Individual

1900 E Lake Shore Dr

Suite 200

Decatur, IL

1568746907

PA Jeffrey Luke Denny

Individual

2300 N Edward St

Decatur, IL

1710172325

PA-C Donald Walter Wendt

Individual

304 W Hay St

Ste 111

Decatur, IL

1891786943

PAC Wayne Allen Mathews

Individual

250 W Kenwood Ave

Decatur, IL

1821407818

PA-C Brentny Renfro

Individual

2905 N Main St

Decatur, IL

1912277005

MRS. PA Mary Ann Good

Individual

2300 N Edward St

Suite 3200

Decatur, IL

1053369546

MR. P.A.-C Brian P Jacquot

Individual

2300 N Edward St

Suite 2350

Decatur, IL

1215954813

P.A.-C Mohammad Tabatabaei

Individual

3131 N Water St

Decatur, IL

1497084396

PA John P Mahony

Individual

3131 N Water St

Decatur, IL

1396721189

PHYSICIAN ASSISTANT Emilye Jessica Grant

Individual

1750 E Lake Shore Dr

Decatur, IL

1093109803

PA-C Lauren Duane Buckingham

Individual

2300 N Edward St

Decatur, IL

1053620930

MS. MPAS, PA-C Cami Jo Kistenfeger

Individual

2905 N Main St

Ste. G

Decatur, IL

1275965220

PA Crystal L Roy

Individual

320 E Central Ave

Decatur, IL

1972014488

PA-C Joseph P Bulinski

Individual

2300 N Edward St

Decatur, IL

1316453616

PA Lisa N Rizzo

Individual

3131 N Water St

Decatur, 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