Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 18

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Physician Assistant Providers

NPI Name Type Address

1104800358

PAC John W Stoulil

Individual

12175 Aberdeen St Ne

Blaine, MN

1710961966

PAC Richard B Hathaway

Individual

12175 Aberdeen St Ne

Blaine, MN

1861787343

MS. PA-C Rachel Lynn Enge

Individual

11855 Ulysses Street Ne

Blaine, MN

1629405931

PA-C Rachel Sinnen

Individual

11855 Ulysses St Ne

Blaine, MN

1487028627

PA-C Charles Ruegemer

Individual

1500 109th Ave Ne

Blaine, MN

1366814139

Joseph James Leveille

Individual

1500 109th Ave Ne

Blaine, MN

1760539746

PA-C Michelle Manos

Individual

1500 109th Ave Ne

Blaine, MN

1205012424

PA-C Tiffany S Hall

Individual

1500 109th Ave Ne

Blaine, MN

1558618975

PA-C Heather Marie Mclane

Individual

10705 Town Square Dr Ne Ste 100

Blaine, MN

1205107422

PAC Adam Robert Hetz

Individual

10705 Town Square Dr Ne Ste 210

Blaine, MN

1255860268

PA-C Jessie Lauren Nelson

Individual

11225 Ulysses St Ne

Blaine, MN

1396405304

PA-C Laura Olson

Individual

11091 Ulysses St Ne

Blaine, MN

1457335044

PAC Cynthia S Jansen

Individual

10705 Town Square Dr Ne Ste 210

Blaine, MN

1861976904

PA-C Britney Ann Gorman

Individual

11225 Ulysses St Ne

Blaine, MN

1740646207

PA Erin M Burton

Individual

10961 Club West Pkwy Ste 100

Blaine, MN

1447565890

PA-C Nicole Joy Siegler

Individual

4365 Pheasant Ridge Dr Ne Ste 106

Blaine, MN

1265189161

PA-C Jacob Daniels

Individual

4365 Pheasant Ridge Dr Ne Ste 106

Blaine, MN

1982286019

PA-C Soaly Pin

Individual

4365 Pheasant Ridge Dr Ne Ste 106

Blaine, MN

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