Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 6

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Surgical Physician Assistant Providers

NPI Name Type Address

1366422404

MR. P.A. Thomas Godon Simmons

Individual

3276 N Northhills Blvd

Fayetteville, AR

1831391655

PA-C Mandy Suzanne Mooneyham

Individual

3053 N College Ave

Fayetteville, AR

1326144320

MR. PA-C Gregory A. Ehrler

Individual

1100 N College Ave

Fayetteville, AR

1407460843

PA Alexandra Paige Benson

Individual

1695 E Rainforest Rd

Fayetteville, AR

1609485663

PA-C Megan Jernigan

Individual

1695 E Rainforest Rd

Fayetteville, AR

1013664093

PA-C Moorea Dippel

Individual

3336 N Futrall Dr

Fayetteville, AR

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 363AS0400X
Specialization Surgical
Display Name Surgical 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

Medical Physician Assistant

363AM0700X • providers: 36,490

Physician Assistant

363A00000X • providers: 122,072