Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 919

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Physician Assistant Providers

NPI Name Type Address

1649368242

PA John Anthony Mebane

Individual

500 W Fort St

# 111

Boise, ID

1023409265

Misty Neisen

Individual

100 E Idaho St

Boise, ID

1396493466

PA Anna Marie Simmons

Individual

8971 W Overland Rd

Boise, ID

1487691176

PA Bradley D Mulkey

Individual

3525 E Louise Dr

Suite 400

Meridian, ID

1689001646

MISS PA-C Colby Estelle Tolman

Individual

425 Idaho Street

Gooding, ID

1992794929

PA-C Preston S Smith

Individual

215 E Hawaii Ave

Nampa, ID

1578219952

PA-C Lisa Barnes

Individual

3345 Potomac Way

Idaho Falls, ID

1639642051

PA-S Kelly Krause

Individual

777 N Raymond St

Boise, ID

1477208791

PA-C Jennifer N Perkins

Individual

1072 N Liberty St Ste 201

Boise, ID

1558838136

PA-C Daniel Thane Winward

Individual

2550 Addison Ave E

Twin Falls, ID

1609519198

Derrick Ray Jorgensen

Individual

3720 Woodking Dr

Idaho Falls, ID

1063795789

PA Gretchen Vetter

Individual

1055 N Curtis Rd

Boise, ID

1982356366

PA-C Benjamin Jacob Johnson

Individual

3100 Channing Way

Idaho Falls, ID

1114383759

Jaclyn R Puga

Individual

1210 Nw 16th St

Fruitland, ID

1285304378

PA-C Layla Ericson

Individual

2025 E Riverside Dr Ste 160

Eagle, ID

1457751802

PA-C Sabrina Shumar

Individual

3399 E Louise Dr Ste 200

Meridian, ID

1265800742

MS. PA-C Laura Marie Gifford

Individual

415 6th St

Lewiston, ID

1073547113

PA John Laurent Etcheto

Individual

176 Falls Avenue

Twin Falls, ID

1659688174

PA-C Abigail D Daley

Individual

520 S Eagle Rd Ste 3102

Meridian, ID

1104991868

PA Megan C Mcdonell

Individual

703 S Americana Blvd

Boise, ID

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