Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 8

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Surgical Physician Assistant Providers

NPI Name Type Address

1003187469

MS. PA-C Stacey K Roline

Individual

1775 Dempster St

Park Ridge, IL

1821140583

MR. CSA James L Ballard

Individual

1231 Brophy Avenue

Park Ridge, IL

1487147393

PA-C Kristen Reed

Individual

1875 Dempster St Ste 265

Park Ridge, IL

1982980629

PA-C Natalia M Waz

Individual

1775 Dempster St

Park Ridge, IL

1457936213

PA-C Taylor W Medeiros

Individual

1875 Dempster St Ste 410

Park Ridge, IL

1760031462

PA-C Christine Moran

Individual

1775 Dempster St

Park Ridge, IL

1114572872

PA-C Angela Catherine Sherman

Individual

1775 Dempster St

Park Ridge, IL

1033733548

Melissa Lieberman

Individual

1675 Dempster St Fl 3

Park Ridge, 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