Taxonomy Code 363AM0700X(363am0700x)
Medical Physician Assistant. Providers: 22

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Medical Physician Assistant Providers

NPI Name Type Address

1093774705

PA-C Stuart Holland Berryman

Individual

4909 N Glen Park Place Rd

Peoria, IL

1265543391

MRS. PA Elizabeth D Moore

Individual

8940 N Wood Sage Road

Peoria, IL

1710099841

MR. PAC Danny M Cox

Individual

8940 N Wood Sage Road

Peoria, IL

1124121371

PA Jacinda Anne Cornick

Individual

6501 N Sheridan Rd

Peoria, IL

1952491284

Cynthia K. Dickinson

Individual

200 E Pennsylvania Ave

Peoria, IL

1821054297

PA Rebecca Ultch

Individual

7309 N Knoxville Ave

Peoria, IL

1104835768

MRS. PAC Leann B Young

Individual

8600 N Route 91

Suite 130

Peoria, IL

1508998105

MR. PA-C Richard Andrew Miller

Individual

8600 N. State Rt 91

Suite 300

Peoria, IL

1093847600

PA Julie A Desutter

Individual

200 E Pennsylvania Ave

Suite 212

Peoria, IL

1306020334

PA Erica M Deford

Individual

2805 N Knoxville Ave

Peoria, IL

1205876166

P.A. Jane Kalmes

Individual

5114 N Glen Park Place Rd

Peoria, IL

1770832495

MRS. MSPAS, PA-C Katherine Nicole Williams

Individual

530 Ne Glen Oak Ave

Peoria, IL

1154672822

PA Aaron M Mclean

Individual

6000 N Allen Rd

Peoria, IL

1275612681

MR. PA-C James Anthony Caruso

Individual

9601 North Lindbergh Dr

# 230

Peoria, IL

1922168293

MS. PA Yvonne M Mccall

Individual

1701 W. Garden Street

Peoria, IL

1700209160

PA-C Sarah Christensen

Individual

4909 N Glen Park Place Rd

Peoria, IL

1720158678

Lori Van Vooren

Individual

7717 N Orange Prairie Rd

Bob Michel Community Outpatient Clinic, Vha

Peoria, IL

1942441225

P.A. Laura L Wilson-brown

Individual

7309 N Knoxville Ave

Peoria, IL

1659560571

MR. PA-C Eric A. Bunting

Individual

6000 N Allen Rd

Peoria, IL

1750781506

PA-C Derek N Morrow

Individual

7620 N University St

Suite 104

Peoria, IL

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