Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 77

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Physician Assistant Providers

NPI Name Type Address

1649241373

PA C Jeffrey K Buckingham

Individual

7301 N Knoxville Ave

Peoria, IL

1871506931

P.A. John R Soderstrom

Individual

4909 N Glen Park Place Rd

Peoria, IL

1790889392

PA-C Sandra K. Leman

Individual

1701 W Garden St

Peoria, IL

1558485938

PA Heidi Henderson

Individual

221 Ne Glen Oak Ave

Peoria, IL

1477743813

MRS. PA Michelle L Roth

Individual

4909 N Glen Park Place Rd

Peoria, IL

1932382652

MS. PA-C Jennica M Finchum

Individual

303 N William Kumpf Blvd

Peoria, IL

1790727410

PA-C Susan M Mettille

Individual

2805 N Knoxville Ave

Peoria, IL

1053563643

PA-C Nicholas Warnecke

Individual

112 Ne Crescent Ave

Peoria, IL

1083668461

PA Joy M Watson

Individual

4909 N Glen Park Place Rd

Peoria, IL

1275533317

MR. PA-C Kevin Snow

Individual

303 N William Kumpf Blvd

Peoria, IL

1922313238

MRS. PA Stephanie M Ellis

Individual

4909 N Glen Park Place Rd

Peoria, IL

1043227846

PA Richard S Seaboch

Individual

5405 N Knoxville Ave

Peoria, IL

1578870440

PA-C Keirstin A Mott

Individual

303 N William Kumpf Blvd

Peoria, IL

1659525855

PA-C Hope Placher

Individual

5114 N Glen Park Place Rd

Peoria, IL

1295898591

PA-C Dawn Clarisse Tanner

Individual

221 Ne Glen Oak Ave

Peoria, IL

1952351256

PA-C Susan M Canty

Individual

1001 Main St Ste 300

Peoria, IL

1376829010

MISS PA-C Amanda Marie Crawford

Individual

8600 N State Route 91

Suite 300

Peoria, IL

1881662385

MR. PA-C, ATC Richard Todd Kerr

Individual

303 N William Kumpf Blvd

Peoria, IL

1316228828

PA Jason Lee Dukes

Individual

221 Ne Glen Oak Ave

Emergency Dept

Peoria, IL

1376890376

PAC Amanda Kathryn Parker

Individual

900 Main St

Peoria, 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