Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 5

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Physician Assistant Providers

NPI Name Type Address

1750316196

PA John L Kittredge

Individual

3740 Edison Lakes Pkwy

Mishawaka, IN

1861420341

PA-C Susan Marie Wassenhove

Individual

812 W 4th St

Mishawaka, IN

1427001742

PA-C David Eugene Fellows

Individual

5215 Holy Cross Pkwy

Emergency Department

Mishawaka, IN

1982635587

PA-C Nicole Leigh Fornalik

Individual

5340 Holy Cross Pkwy

Mishawaka, IN

1720754526

Shobhit Sharma

Individual

5215 Holy Cross Pkwy

Mishawaka, IN

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