Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 2,998

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Physician Assistant Providers

NPI Name Type Address

1154496941

MR. PA-C Joseph Jody Leone

Individual

4801 Veterans Drive

St. Cloud Veterans Medical Center

St. Cloud, MN

1104990654

PA-C George C Moore

Individual

701 Park Ave # 08

Minneapolis, MN

1487728531

PA-C,SA-C Mark A Shoemaker

Individual

23671 Saint Francis Blvd Nw

Suite 104

Saint Francis, MN

1982763660

PA Gwendolyn A Polaski

Individual

640 Jackson Street

St Paul, MN

1700946878

Allen Leslie Hughes

Individual

400 E 3rd St

Duluth, MN

1518021120

PHYSICIAN EXTENDER R Stanley Cyril Worm

Individual

101 Willmar Ave Sw

Affiliated Community Medical Centers

Willmar, MN

1679637177

PA David Pecora

Individual

425 7th St Nw

Cass Lake, MN

1649328121

PA-C Jennifer Marie Kulus

Individual

Fairview Urgent Care - Eagan

1440 Duckwood Drive

Eagan, MN

1275660854

MS. PAC PHYSICIAN ASSIST Patricia Ann O Neill Scheidt

Individual

905 6th Ave So

St James, MN

1285752055

MR. PA-C Scott K Podratz

Individual

1970 Rahncliff Ct

Eagan, MN

1639383888

PA Claire Susannah Carrier

Individual

420 Delaware St Se

Mmc 480 14-148 Phillips-wangensteen Bldg

Minneapolis, MN

1669689071

P.A. Eric John Rosendahl

Individual

5204 W Nokomis Pkwy

Minneapolis, MN

1548471295

PA-C Michelle Roubinek

Individual

1955 County Road B2 W

Roseville, MN

1588866255

PAC Gina Orourke Peschel

Individual

675 Water St

Excelsior, MN

1902001134

P.A.-C. Thomas W Liester

Individual

1700 Highway 25 N

Buffalo, MN

1649477068

MRS. PA-C Heather Rasmussen Haberman

Individual

401 Phalen Blvd Msc 41102b

Saint Paul, MN

1982809976

PA-C Richard John Albrecht

Individual

640 Jackson St

Saint Paul, MN

1710961958

P.A. Perry Berhow

Individual

800 Medical Center Dr

Fairmont, MN

1861477994

P.A. Julie Vonohlen

Individual

800 Medical Center Dr

Fairmont, MN

1194788661

P.A. Erinn S Vonrein

Individual

8100 W 78th St

Suite 225

Edina, MN

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