Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 56

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Physician Assistant Providers

NPI Name Type Address

1831105022

PHYSICIAN ASSISTANT John Eric Myskiw

Individual

Irwin Army Community Hospital

600 Caisson Hill Road,

Fort Riley, KS

1043313323

PAC John Richard Gralow

Individual

600 Caisson Hill Road

Irwin Army Community Hospital

Fort Riley, KS

1063516474

MISS PAC Drew J. Marr

Individual

600 Caisson Hill Road

Attn: Mcxx-cld-qm

Fort Riley, KS

1093809717

PA Bertis Thomas Mcmillan

Individual

600 Caisson Hill Road Attn: Mcxx-cld-qm (credentials)

Irwin Army Community Hospital Attn: Mrs Terry L. Hill

Fort Riley, KS

1922194505

PA-C Brian David Calkins

Individual

Irwin Army Community Hosipital

600 Cassion Hill Rd,

Fort Riley, KS

1033208921

MR. PA-C Jeffery Keith Mincks

Individual

600 Caisson Hill Road

Ctmc

Fort Riley, KS

1396963260

MS. PA-C Vivien S Guevara

Individual

600 Caisson Hill Road

Fort Riley, KS

1144454521

PA-C Karl N Kelson

Individual

600 Caisson Hill Rd

Fort Riley, KS

1568698140

PA-C Keaka B Atkinson

Individual

600 Caisson Hill Rd

Fort Riley, KS

1225364045

PA-C Aricel Guerrero

Individual

600 Caisson Hill Rd

Fort Riley, KS

1912202631

PA-C Jennifer Elizebeth Sherman

Individual

600 Caisson Hill Rd

Fort Riley, KS

1831475573

PA Justin M Goble

Individual

600 Caisson Hill Rd

Fort Riley, KS

1972861573

MR. PA-C Brian Matthew Fecteau

Individual

600 Caisson Hill Rd

Fort Riley, KS

1801236070

MR. PA-C Andrew Ricard Kennedy

Individual

600 Caisson Hill Rd

Fort Riley, KS

1619392974

Jeffrey Michael Wallace

Individual

600 Caisson Hill Rd

Fort Riley, KS

1982013561

PA Rod Laird

Individual

600 Caisson Hill Rd

Fort Riley, KS

1548625072

P.A.C. Michael W Swann

Individual

600 Caisson Hill Rd

Fort Riley, KS

1194946707

PA-C Paul B Platz

Individual

600 Caisson Hill Road

Fort Riley, KS

1447601232

MR. PA Jordan Dukes

Individual

600 Caisson Hill Rd

Fort Riley, KS

1801261037

PA-C Matthew Betke

Individual

650 Huebner Rd

Fort Riley, KS

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