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

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Physician Assistant Providers

NPI Name Type Address

1720480262

MRS. Lena Bond

Individual

650 Joel Dr

Fort Campbell, KY

1568063519

Jeremy Schadewald

Individual

650 Joel Dr

Fort Campbell, KY

1932121316

MR. PA Charles E Drury

Individual

650 Joel Dr

Fort Campbell, KY

1033701719

PHYSICIAN ASSISTANT Kevin Lee Larose

Individual

Blanchfield Army Community Hospital

650 Joel Drive

Fort Campbell, KY

1861071656

PA Tamara Jo Bishop

Individual

650 Joel Dr

Fort Campbell, KY

1083254940

MR. PA Ignatius Andoh

Individual

650 Joel Dr

Fort Campbell, KY

1174167423

PA-C, MPAS Michael Jun Lee

Individual

650 Joel Dr

Fort Campbell, KY

1245812320

MR. PA-C Derrick Paul Bouldin JR.

Individual

650 Joel Dr

Fort Campbell, KY

1184099483

PA-C Taylor Joseph Allen

Individual

650 Joel Dr

Fort Campbell, KY

1740321371

MRS. PA-C, MPAS Shirley T Bauman

Individual

650 Joel Drive

Emergency Department

Fort Campbell, KY

1063084390

PHYSICIAN ASSISTANT Jessica Johns

Individual

5979 Desert Storm Ave

Fort Campbell, KY

1114459922

PA-C Elizabeth Dunne

Individual

650 Joel Dr

Fort Campbell, KY

1194487306

Jonathan Scott Wade

Individual

650 Joel Dr

Fort Campbell, KY

1073188363

Sara Cashdollar

Individual

650 Joel Dr

Fort Campbell, KY

1902566078

Tyler Tennant

Individual

650 Joel Dr

Fort Campbell, KY

1457628539

PA CERTIFIED Albert Robert Bassett

Individual

7265 Nightstalker Way

Fort Campbell, KY

1982364824

Ashley Kate Braun

Individual

650 Joel Dr

Fort Campbell, KY

1700443512

PA-C Matthew Christopher Dale

Individual

650 Joel Dr

Fort Campbell, KY

1942882014

PA-C Andrew Tallman

Individual

650 Joel Dr

Fort Campbell, KY

1437702057

PA-C Ryan Landon Menges

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