Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 30

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Physician Assistant Providers

NPI Name Type Address

1396851473

PA-C Allan Faust

Individual

7901 Angling Rd

Portage, MI

1568543502

Mark Vandermyde

Individual

7901 Angling Rd

Portage, MI

1396749800

MS. PA-C Lucetta Lynne Lyford

Individual

430 W. Centre Ave.

Portage, MI

1598700593

MR. RPA C Thomas Jones

Individual

3304 Cooley Ct

Portage, MI

1235297557

Borgess Medical Center

Organization

7901 Angling Rd

Portage, MI

1124112982

PA-C Therese A Birkam-jade

Individual

6100 Newport Rd

Suite 100

Portage, MI

1265593685

MRS. PA-C Jessica L Umlor

Individual

6100 Newport Rd

Suite 100

Portage, MI

1285745950

PA Jeffry Scott Freeman

Individual

3000 Old Centre Rd

Portage, MI

1861415002

PA-C Melissa Ann Dusseljee

Individual

3850 Glenkerry Ct

Portage, MI

1437402229

MS. PA-C Bonnie Merritt Wallace

Individual

3304 Cooley Ct

Portage, MI

1295811768

P.A. Nancy J Beckman

Individual

3200 W Centre Ave

Suite 203

Portage, MI

1063886505

Pamela Bartley

Individual

7901 Angling Rd

Portage, MI

1285076422

PA Ashley Marie Stoehr

Individual

7775 Angling Rd

Portage, MI

1265441703

PA-C Leslie A Price

Individual

7775 Angling Rd

Portage, MI

1649322678

MR. P.A. Steven Glenn Abshagen

Individual

3304 Cooley Ct

Portage, MI

1053754168

PA-C Stephanie Sabater-geib

Individual

3000 Old Centre Rd

Portage, MI

1932731999

PA-C Adam D Standiford

Individual

3000 Old Centre Rd

Portage, MI

1316466345

PA-C Zane Stampfly

Individual

7775 Angling Rd

Portage, MI

1487123972

Emily Putnam

Individual

1428 W Milham Ave

Portage, MI

1013089820

Bronson Methodist Hospital

Organization

5121 S Westnedge Ave

Portage, MI

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