Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 7

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Surgical Physician Assistant Providers

NPI Name Type Address

1902092109

MR. P.A. Jeremy A Houtakker

Individual

750 E Terra Cotta Ave

Suite C

Crystal Lake, IL

1942747480

PA-C Christopher L Ballinger

Individual

420 N. Il Route 31

Crystal Lake, IL

1134648389

PA-C Ryan Miguel Colon

Individual

420 N Il Route 31

Crystal Lake, IL

1548519986

MRS. PA-C Stephanie H Goede

Individual

420 N Il Route 31

Crystal Lake, IL

1497295125

PA-C Alexander J Hembrey

Individual

420 N Il Route 31

Crystal Lake, IL

1316486459

PA-C Nicole M Trittschuh

Individual

420 N Il Route 31

Crystal Lake, IL

1639651060

PA-C Scott M. Detloff

Individual

415 E Congress Pkwy Ste A

Crystal Lake, 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 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