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

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Physician Assistant Providers

NPI Name Type Address

1104179795

PA-C Jason Roach

Individual

530 Ne Glen Oak Ave

Peoria, IL

1912251653

PA-C Adam Kyle Jelinek

Individual

303 N William Kumpf Blvd

Peoria, IL

1689923013

PA Jacob E Mefford

Individual

221 Ne Glen Oak Ave

Peoria, IL

1093141756

PA-C Monica Everett

Individual

5409 N Knoxville Ave

Peoria, IL

1104813997

PA-C Sharon Aycock

Individual

200 E Pennsylvania Ave

Suite 105

Peoria, IL

1295158194

PA Karolina Wozny

Individual

900 Main St

Suite 630

Peoria, IL

1750460481

PA-C Clark Anderson

Individual

1001 Main St

Suite 500a

Peoria, IL

1598153512

PA-C Korte B Knoblauch

Individual

5114 N Glen Park Place Rd

Peoria, IL

1851363022

MR. PAC Randall Lane Wilcoxen

Individual

5114 N Glen Park Place Rd

Peoria, IL

1588955983

PA Christel J Loyd

Individual

530 Ne Glen Oak Ave

Peoria, IL

1861875759

Thomas Reinken

Individual

221 Ne Glen Oak Ave

Peoria, IL

1396162160

MS. PA Elizabeth S. Smid Garcia

Individual

7717 N Orange Prairie Rd

Peoria, IL

1588999700

PA Heather B Martin

Individual

5405 N Knoxville Ave

Peoria, IL

1073973095

Eryn Fleming

Individual

530 Ne Glen Oak Ave

Peoria, IL

1366836033

PA-C Kayla C Martinez

Individual

530 Ne Glen Oak Ave

Peoria, IL

1316331408

PA-C Jayme Lee Phillips

Individual

7303 N Knoxville Ave

Peoria, IL

1477091536

MR. PA-C Jean Michel Elsasser

Individual

530 Ne Glen Oak Ave

Peoria, IL

1639681117

MRS. PA Melissa Renee Garmon

Individual

5114 N Glen Park Place Rd

Peoria, IL

1497267207

PA Jessica Blair

Individual

8600 State Route 91 Ste 130

Peoria, IL

1285137653

PA-C Valerie T Kale

Individual

303 N William Kumpf Blvd

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