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

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Physician Assistant Providers

NPI Name Type Address

1487078911

PA-C Jamie Brooke Peterson

Individual

2321 E Gala St Ste 3

Meridian, ID

1669917456

PA-C Andrea Beth Gardner

Individual

3500 Potomac Way Ste 100

Idaho Falls, ID

1538565650

PA-C Brittany Collins

Individual

190 E Bannock St

Boise, ID

1801526199

MISS Heather Lin Halversen

Individual

921 S 8th Ave Stop 8253

Pocatello, ID

1992435234

PA-C Dakota Wilson

Individual

1950 E Clark St

Pocatello, ID

1811627003

Sarah Moloo

Individual

921 S 8th Ave Stop 8253

Pocatello, ID

1538893276

PA Alexandra Seaman

Individual

633 N 4th St

Boise, ID

1356075030

PA-C Alexandria Renee Mcune

Individual

1210 Nw 16th St

Fruitland, ID

1578994356

PAC Chelsy Layne Taylor

Individual

205 N Berkley St

Council, ID

1982334124

MRS. Savannah J Hendricks

Individual

777 Hospital Way

Pocatello, ID

1801196720

PA Jackie B Callaway

Individual

600 N Robbins Rd Ste 302

Boise, ID

1528798816

PA Elli Fox

Individual

6052 W State St

Boise, ID

1619616885

PA-C Elinor Gabriela Johnson

Individual

388 Martin St

Twin Falls, ID

1851658595

PA-C Dallin Andersen

Individual

1494 W. Ustick Rd.

110

Meridian, ID

1750011011

PA-C Krystal Ray

Individual

3425 Merlin Dr

Idaho Falls, ID

1194023671

MS. PA-C Michelle Renee Lucero

Individual

13500 S Pleasant Valley Rd

Kuna, ID

1992306344

Emily Herrmann

Individual

1072 N Liberty St Ste 300

Boise, ID

1508338187

Shannon Finnegan

Individual

6051 W Emerald St

Boise, ID

1346970654

MS. PA-C Ivy Meg Wilson

Individual

2893 S Cadet Pl

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