Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 141

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Physician Assistant Providers

NPI Name Type Address

1962754820

MR. PA-C Brandon Pomaikai Penebacker

Individual

Tagayta Dr Bldg C-1722

Fort Bragg, NC

1336486877

MR. PA-C Donald Max Grambusch

Individual

2817 Reilly Road

Womack Army Medical Center

Fort Bragg, NC

1881028652

PA-C Alejandro Beltran

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

1225464217

PA Jennifer Elyse Nix

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

1689001711

Shawn Mccool

Individual

Bldg X-4813 Air Defense Loop

Fort Bragg, NC

1225035652

MR. P.A.-C Tyson Shelton

Individual

Bastogne Dr Bldg 5-4257

Fort Bragg, NC

1982029229

PA-C Travis Johnson

Individual

Womack Army Medical Ctr

Fort Bragg, NC

1730504986

Amanda Hensley

Individual

2817 Reilly St

Fort Bragg, NC

1588069132

PA-C Kayla Ann Holtz

Individual

2817 Reilly Road

Womack Army Medical Center

Fort Bragg, NC

1124410881

PA-C Samuel Andrew Rocker

Individual

2817 Reilly St

Fort Bragg, NC

1508221888

PA-C Richard Gibson

Individual

1722 Tagayta Dr Fort Bragg Nc 28310

Fort Bragg, NC

1245696525

PA-C Charles Mcadams

Individual

1722 Tagayta Dr

Fort Bragg, NC

1629435714

John Gagnier

Individual

Gruber Road

Building #c-1722

Fort Bragg, NC

1790767705

MRS. PA-C Mary Susan Shaw Tolbert

Individual

Building C-1722

Tagatay And Gruber Rd.

Fort Bragg, NC

1770036105

PA-C Jonathan Hall

Individual

2817 Reilly St

Fort Bragg, NC

1700333051

PA-C Lamar Alginon Adams

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

1932585734

Rich Huynh

Individual

1722 Tagayta Dr

Fort Bragg, NC

1740247105

MR. PAC James Wight Phillips

Individual

2817 Reilly Rd

Mcxc-cod Credentials Womack Army Medical Center

Fort Bragg, NC

1053856302

PA-C Robert Scott Blough

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

1306144902

MR. PA-C Lance Patrick Hoepner

Individual

2817 Reilly St

Fort Bragg, NC

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