Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 128

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Physician Assistant Providers

NPI Name Type Address

1356894406

Robert Whealton

Individual

650 Joel Drive

Blanchfield Army Community Hospital

Fort Campbell, KY

1174069389

PA-C Seth Yates

Individual

650 Joel Drive

Fort Campbell, KY

1093255275

MR. PA-C Richard Thomas Ahlstrom

Individual

5979 Desert Storm Ave

Fort Campbell, KY

1104353630

PA-C Thomas A Barnes

Individual

650 Joel Dr

Fort Campbell, KY

1821427055

MS. PA-C Andrea Gonzalez

Individual

650 Joel Dr

Attn: Credentials Office

Fort Campbell, KY

1497273973

Seth Mcdowell

Individual

650 Joel Dr

Fort Campbell, KY

1992207781

PA-C Japhet Daniel Rodriguez

Individual

650 Joel Dr

Fort Campbell, KY

1093161952

PA-C Shameice Fischer

Individual

650 Joel Dr

Fort Campbell, KY

1326537077

PA-C Christopher Boyce

Individual

650 Joel Dr

Fort Campbell, KY

1912144726

PA Scott Richard Jolman

Individual

650 Joel Dr

Fort Campbell, KY

1093940173

PA Jill Ann Spackman

Individual

650 Joel Dr

Fort Campbell, KY

1447746516

MRS. PA-C Kimberly Deely

Individual

650 Joel Dr

Fort Campbell, KY

1508342288

Matthew J Chandler

Individual

650 Joel Dr

Fort Campbell, KY

1578935581

PA-C Bethany A Clawson

Individual

650 Joel Dr

Fort Campbell, KY

1801032461

MR. PA-C John Thomas Gottschalk

Individual

650 Joel Dr

Fort Campbell, KY

1669855961

PA-C Meredith Carlson

Individual

650 Joel Dr

Fort Campbell, KY

1538492855

MR. PA-C Robin Eugene Goddard

Individual

650 Joel Dr

Fort Campbell, KY

1891283842

PA-C Blake Adam Glynn

Individual

Blanchfield Army Community Hospital

650 Joel Drive

Fort Campbell, KY

1932401064

MR. D.C., PA-C Gregg Stephen Lincoln SR.

Individual

650 Joel Dr

Fort Campbell, KY

1689669996

P.A. Shelia Renee Mitchell

Individual

650 Joel Dr

Fort Campbell, KY

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