Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 6

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Physician Assistant Providers

NPI Name Type Address

1407868854

PA-C Audrey Mcreavy

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1578501326

PA-C Blake T Greenfield

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1104337450

PA Michael J Vadovsky

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1801211123

PA-C Jordan Hickman

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1750614038

PA-C Joshua R Paull

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1467086249

PA-C Douglas Robert Ryan

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

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