Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 5

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Surgical Physician Assistant Providers

NPI Name Type Address

1235293804

PA-C Lee Richerson Mackin

Individual

550 Twin Cities Blvd Ste A

Niceville, FL

1164433827

PA-C Rustin G Sorensen

Individual

1950 Bluewater Blvd

Suite 100

Niceville, FL

1346205291

MS. PA-C Erin Robinson

Individual

1950 Bluewater Blvd

Ste 100

Niceville, FL

1508306473

MR. PA Russell White

Individual

1950 Bluewater Blvd

Suite 100

Niceville, FL

1427098292

Bluewater Orthopedics, P.a.

Organization

1950 Bluewater Blvd

Suite 100

Niceville, FL

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