Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 11

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Physician Assistant Providers

NPI Name Type Address

1467428151

MS. PA-C Rebecca Ann Lamczik

Individual

1 Doctors Park Rd

Mount Vernon, IL

1144526963

PA-C Devin D Haertling

Individual

4121 Veterans Memorial Dr

Mount Vernon, IL

1750497061

P.A. Shirley Dallmier

Individual

3307 Broadway St Ste 130

Physician Rural Health Clinic Of Jefferson County

Mount Vernon, IL

1316108970

MR. PA-C Zachary R Gustavison

Individual

605 N 12th St

Mount Vernon, IL

1689223729

PA-C Braedon Haertling

Individual

4121 Veterans Memorial Dr

Mount Vernon, IL

1003467341

PA-C Erica Renee Escue

Individual

2920 Veterans Memorial Dr

Mount Vernon, IL

1194351668

MR. PA-C Justin L Northcutt

Individual

8 Doctors Park Rd

Mount Vernon, IL

1841239316

PA-C Michelle Burwell

Individual

2 Good Samaritan Way Ste 420

Mount Vernon, IL

1699855767

PA Cheryl Alicia Baggett

Individual

2 Good Samaritan Way

Suite 420

Mount Vernon, IL

1346356524

MS. PA-C Cathy Diane Lisenby

Individual

2 Good Samaritan Way

Mount Vernon, IL

1962023820

PA-C Paul Ryan Lane

Individual

4101 N Water Tower Pl

Mount Vernon, 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