Taxonomy Code 363AM0700X(363am0700x)
Medical Physician Assistant. Providers: 17

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Medical Physician Assistant Providers

NPI Name Type Address

1164617122

MR. PA Mark A Boomershine

Individual

3496 E Lake Lansing Rd

Suite 100

East Lansing, MI

1821233024

PA Tara N Sadonis

Individual

2852 Eyde Pkwy

Suite 175

East Lansing, MI

1558508283

MS. MS, PAC Judith E Daoust

Individual

3496 E Lake Lansing Rd

East Lansing, MI

1326286675

MR. PA-C Michael C Kennerly

Individual

3496 E Lake Lansing Rd

Suite 100

East Lansing, MI

1558318840

MS. PA-C Deborah L Reid

Individual

1550 Watertower Pl

Suite 500

East Lansing, MI

1336172618

MRS. PAC Amy L Heeschen

Individual

6110 Abbot Rd

East Lansing, MI

1831438852

MRS. PA-C Helen Lynette Biery

Individual

2025 Abbot Rd Ste 100

East Lansing, MI

1679767222

PA Kate Meryl Supianoski

Individual

4660 S Hagadorn Rd

Ste 420

East Lansing, MI

1528013489

PA Kathleen A Flannery

Individual

4660 S Hagadorn Rd

#500

East Lansing, MI

1619370160

PA-C Jordan L Olesnavich

Individual

830 W Lake Lansing Rd Ste 190

East Lansing, MI

1053402446

PA-C Mary Elizabeth Turner

Individual

6110 Abbott Rd

East Lansing, MI

1346739224

MR. PA-C Brian James Tsacoumangos

Individual

2900 Hannah Blvd Ste 114

East Lansing, MI

1780834069

PA Michelle M Hafner

Individual

463 East Circle Drive

East Lansing, MI

1740405497

MS. P.A.-C Angela Kathryn Lower

Individual

804 Service Rd Ste A217

East Lansing, MI

1508127952

PA-C Sara M Wilchowski

Individual

2601 Coolidge Rd Ste 200

East Lansing, MI

1740565704

MRS. PA-C Melani Reaume Vos

Individual

411 W Lake Lansing Rd

Suite C 120

East Lansing, MI

1932188638

MR. PA-C Joshua David Feller

Individual

2852 Eyde Pkwy

Ste 175

East Lansing, MI

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