Taxonomy Code 363AM0700X(363am0700x)
Medical Physician Assistant. Providers: 25

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Medical Physician Assistant Providers

NPI Name Type Address

1124040506

MR. PA-C(PHYS ASST) Michael John Doyle

Individual

921 S 8th Ave Stop 8311

Pocatello, ID

1760597462

PA-C Karen Dickerson

Individual

1352 E Center St

Pocatello, ID

1114028354

PA-C Shad Carl Johnson

Individual

1151 Hospital Way Bldg A

Pocatello, ID

1346375367

PA-C Derek Eddie

Individual

560 Memorial Dr

Pocatello, ID

1215929690

PA-C David E Martin

Individual

845 W Center St

Suite 200

Pocatello, ID

1730149865

PA Debra R Ray

Individual

500 S 11th Ave

Suite 305

Pocatello, ID

1174711758

Rsm Pa Pllc

Organization

1595 Bannock Hwy

Pocatello, ID

1578742615

P.A. Roger David Cushman

Individual

2302 E. Terry Street

Pocatello, ID

1780867457

Southeast Idaho Gastroenterology, Pllc

Organization

1151 Hospital Way Ste A

Pocatello, ID

1639151848

PA-C Trudy Bearden

Individual

465 Memorial Dr

Pocatello, ID

1831184712

PA-C, MHE, ATC, LAT Leslie Jean Mcgovern

Individual

777 Hospital Way

Pocatello, ID

1447541487

PA Tyler Hepworth

Individual

777 Hospital Way

Pocatello, ID

1518934181

MR. PA-C Paul Bieniasz

Individual

845 W Center St Ste 200

Pocatello, ID

1205085529

PA Annie Marie Dixon

Individual

2240 E Center St

Pocatello, ID

1073513065

MRS. PA Helena M. B. Rizor

Individual

1448 E Center St

Pocatello, ID

1376946012

PA-C Angela G Hatch

Individual

777 Hospital Way

Pocatello, ID

1750342952

MS. PHYSICIAN ASSISTANT Kebai Dawn Bills

Individual

1777 E. Clark Suite # 210

Pocatello, ID

1417909862

MRS. PA Cynthia Ann Bunde

Individual

429 Washington Ave

Pocatello, ID

1265441547

PA Nicole Manning

Individual

475 Yellowstone Ave

Ste E

Pocatello, ID

1477690899

MRS. PA Paula Brutz Phelps

Individual

1151 Hospital Way

Suite D, Suite 201

Pocatello, 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 363AM0700X
Specialization Medical
Display Name Medical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Physician Assistant

363A00000X • providers: 122,072

Surgical Physician Assistant

363AS0400X • providers: 16,971