Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 17

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Physician Assistant Providers

NPI Name Type Address

1598766354

RPA Tracy A Vaughn

Individual

4507a Medical Center Dr

Fayetteville, NY

1497006043

MR. P.A. David Nagel Hammack

Individual

4101 Medical Center Dr

Fayetteville, NY

1639198526

PA Matthew Stephen Shute

Individual

4104 Medical Center Drive

Suite 104

Fayetteville, NY

1144367749

MS. PA-C Nerissa Ann Jackson

Individual

4103 Medical Center Dr

Fayetteville, NY

1144288630

MRS. PA Jill M. Johnstone

Individual

4115 Medical Center Dr

Suite 115

Fayetteville, NY

1700288966

Daniel Robert Green

Individual

212 Highbridge St

Suite A

Fayetteville, NY

1558507251

RPA-C Rachel Marie Damon

Individual

4110 Medical Center Dr

Fayetteville, NY

1992131973

MR. PA-C Adam W Paddock

Individual

4000 Medical Center Dr

Fayetteville, NY

1689191736

PA Emily M Marris

Individual

4103 Medical Center Dr

Fayetteville, NY

1336510916

PA Melissa Roe

Individual

4110 Medical Center Dr

Fayetteville, NY

1306443387

PA-C Melissa Macneil Spencer

Individual

810 Knighthood Cir

Fayetteville, NY

1891323671

PA Jessica Coe

Individual

4117 Medical Center Dr

Pod A

Fayetteville, NY

1114329810

MPAS, PA-C Michael Nathen Warren

Individual

212 Highbridge St

Fayetteville, NY

1407894520

P.A Deanna Raymond Allen

Individual

100 Clinton St

Fayetteville, NY

1720642184

PA-C Erika Delisle

Individual

510 Towne Dr

Fayetteville, NY

1295284156

RPA-C Lauren Krisak Gilkey

Individual

4101 Medical Center Dr

Fayetteville, NY

1811554207

Anna Hsu

Individual

4100 Medical Center Dr.

Suite 502

Fayetteville, NY

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