Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 4

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Surgical Physician Assistant Providers

NPI Name Type Address

1831647197

MR. MPAS, PA-C Nicholas Hensley

Individual

3155 Channing Way Ste B

Idaho Falls, ID

1033581269

PA-C Jason John Overocker

Individual

3100 Channing Way

Idaho Falls, ID

1386018950

P.A.-C Cody Fowler

Individual

3345 Potomac Way

Idaho Falls, ID

1477992592

P.A. Stanford Benjamin Gammon

Individual

3345 Potomac Way

Idaho Falls, 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 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